Vascular Disease Laboratory
Clinical Medical Laboratory in Edmond, OK. Organization (NPI-2).
NPI number1346353877
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346353877
- Entity type
- Organization (NPI-2)
- Legal business name
- Vascular Disease Laboratory
- Organization subpart
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | OK | Yes |
Practice location
2000 E 15th StSte. 300b
Edmond, OK 73013-6697
Phone 405-330-5755
Mailing address
2000 E 15th StSte. 300b
Edmond, OK 73013-6697
Phone 405-330-5755
Authorized official
Keith Mullins
Owner
4053305755
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