| NPI | 1730645201 |
|---|---|
| Doing Business As | WK OUTPATIENT LAB SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT COOK Accountant 318-212-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-03-08 |