| NPI | 1306032891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C MCGINNIS Director Of Pathology/Owner 580-536-0021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 19385) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: OK 19385) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-04-20 |