| NPI | 1306060504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY L JUDGE Medical Director 918-423-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-04-20 |