| NPI | 1578918249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BLAKEMAN Managing Member 405-210-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D2111730) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |