| NPI | 1457468464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK D GILLIS Business Manager 918-712-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D1002749) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 37D1002749) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2010-02-09 |