Stateline Medical Lab LLC

NPI #1487275699 in Pocola, Oklahoma

Provider Information

NPI Number
1487275699
Entity Type
Organization
Organization Name
Stateline Medical Lab LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 28, 2020
Last Updated
Apr 28, 2020

Practice Location

Address
105 N POCOLA BLVD STE 2
City
Pocola
ZIP Code
74902-3101
Phone
(918) 436-5001

Authorized Official

Name
CHRISTOPHER DOOLY
Title
OWNER
Phone
(479) 414-5680

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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