Provectus Diagnostics LLC

NPI #1104213156 in Tulsa, Oklahoma

Provider Information

NPI Number
1104213156
Entity Type
Organization
Organization Name
Provectus Diagnostics LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 16, 2015
Last Updated
Oct 29, 2024

Practice Location

Address
4150 S 100TH EAST AVE
Address 2
SUITE 105
City
Tulsa
ZIP Code
74146-3650
Phone
(918) 949-4526

Authorized Official

Name
STEVEN T MCCORMACK
Title
OWNER/CEO
Phone
(626) 244-8200

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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