| NPI | 1649504564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SAMPLES Credentialing Specialist 405-605-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D2059506) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2015-10-01 |