| NPI | 1336556745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KAY KIMREY Operations Manager 918-960-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D2075661) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-04-09 |