| NPI | 1669558789 |
|---|---|
| Doing Business As | FOMG CLINICAL MEDICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | WARREN KEAN SPELLMAN CEO 405-779-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-08-08 |