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1487275699
STATELINE MEDICAL LAB LLC
POCOLA, OK
NPI
1487275699
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Entity Type
Organization
Authorized Contact
CHRISTOPHER DOOLY
Owner
479-414-5680
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
STATELINE MEDICAL LAB LLC
105 N POCOLA BLVD STE 2
POCOLA, OK 74902-3101
Phone number: 918-436-5001
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Mailing Address
STATELINE MEDICAL LAB LLC
105 N POCOLA BLVD STE 2
POCOLA, OK 74902-3101
Phone number: 918-436-5001
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STATELINE MEDICAL LLC