| NPI | 1982150231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA FISHER Owner/Director Of Operations 918-231-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-02-14 |