is a Clinical Medical Laboratory in Oklahoma City, Oklahoma. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for is 1780841734. The last update date is .
's current location address is 4913 W Reno Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059484900 and fax number 4059484936. The mailing address for is 4913 W Reno Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4913 W Reno Ave, Oklahoma City, Oklahoma |
| Phone Number | 4059484900 |
| Fax Number | 4059484936 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1780841734 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4913 W Reno Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731276339 |
| Phone Number | 4059484900 |
| Fax Number | 4059484936 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
|
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37D0663081 | CLIA | ||
| 37D2025076 | CLIA | ||
| 100731010A | OK | -- | |
| 371818 | MEDICARE |
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