| NPI | 1437256831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM PAUL WIGINGTON Owner, Administrator 580-371-2394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D0472003) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-05-07 |