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Diagnostic Laboratory Of Oklahoma LLC

Clinical Medical Laboratory in Seminole, OK. Organization (NPI-2).

NPI number1114101730
StatusActive
Last updated in NPPESDec 18, 2007

Details

NPI
1114101730
Entity type
Organization (NPI-2)
Legal business name
Diagnostic Laboratory Of Oklahoma LLC
Organization subpart
No
Enumeration date
Dec 18, 2007
Last updated
Dec 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory37D1025824OKYes

Other names

  • Seminole Medical Center (Other Name)

Practice location

2401 W Wrangler Blvd
Seminole, OK 74868-1917

Phone 405-303-4000

Mailing address

2750 Monroe Blvd
Eagleville, PA 19403-2429

Phone 484-676-7000

Authorized official

G Scott Cartier
Vp National Billing
4846767331

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