| NPI | 1972790954 |
|---|---|
| Other Name | MID-DEL VARIETY HEALTH CETNER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOVER Cooo 405-235-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |