| NPI | 1437702867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRILLA CASSEY Owner 405-748-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-07-20 |