| NPI | 1447280474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE J CHEADLE Billing Supervisor 405-705-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-12-08 |