| NPI | 1417246182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA PARKS Director Of Health Services Ops 918-587-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2019-08-29 |