St. Mary's Laboratory, LLC

NPI #1508207242 in Enid, Oklahoma

Provider Information

NPI Number
1508207242
Entity Type
Organization
Organization Name
St. Mary's Laboratory, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 10, 2013
Last Updated
Aug 28, 2014

Practice Location

Address
3517 W OWEN K GARRIOTT RD
Address 2
SUITE 5
City
Enid
ZIP Code
73703-4952
Phone
(580) 234-6800

Authorized Official

Name
JOHN JOHANNESSEN
Title
VICE PRESIDENT
Phone
(903) 416-1726

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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