Prime Laboratories LLC
NPI #1508247073 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1508247073
- Entity Type
- Organization
- Organization Name
- Prime Laboratories LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jun 10, 2015
- Last Updated
- Apr 11, 2016
Practice Location
- Address
- 1130 N 9TH ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-2388
- Phone
- (918) 940-3180
Authorized Official
- Name
- BEN CONLEY
- Title
- CEO
- Phone
- (918) 940-3180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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