| NPI | 1497773337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TERRENCE DOLAN President 918-744-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D0656684) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-05-31 |