Physician's Laboratory of Midwest City, LLC
NPI #1841657681 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1841657681
- Entity Type
- Organization
- Organization Name
- Physician's Laboratory of Midwest City, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 25, 2016
- Last Updated
- Feb 16, 2016
Practice Location
- Address
- 9230 E RENO AVE
- Address 2
- SUITE B
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-3337
- Phone
- (405) 737-4900
Authorized Official
- Name
- MR. CARLO LEDESMA, MT,ASAP,MS
- Title
- LABORATORY DIRECTOR
- Phone
- (405) 737-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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