| NPI | 1710573571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE MILLER Director Of Risk Management 405-305-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |