| NPI | 1881807436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE BLEVINS Administrator 918-331-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 2187) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |