Southeastern Clinical INC

NPI #1306060504 in Mcalester, Oklahoma

Provider Information

NPI Number
1306060504
Entity Type
Organization
Organization Name
Southeastern Clinical INC
Primary Specialty
Pathology - Clinical Pathology/Laboratory Medicine
Enumeration Date
Apr 12, 2007
Last Updated
Apr 20, 2008

Practice Location

Address
716 E WYANDOTTE AVE
ZIP Code
74501-5428
Phone
(918) 423-6791

Authorized Official

Name
RICKY L JUDGE, MD
Title
MEDICAL DIRECTOR
Phone
(918) 423-6791

Specialties & Taxonomy Codes

Specialty
Pathology - Clinical Pathology/Laboratory MedicineClinical Pathology/Laboratory Medicine

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