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Organization
OKC MEDICAL STOP LLC
Active
Organization
OKC MEDICAL STOP LLC
Active
Other names
OKC COVID Testing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SULLIVAN (OWNER)
(405) 625-2024
Entity
Organization
Contact information
Practice address
10717 N MAY AVE, OKLAHOMA CITY, OK 73120-2620
(405) 625-2024
Mailing address
10717 N MAY AVE, OKLAHOMA CITY, OK 73120-2620
(405) 625-2024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
02/11/2021
Last updated
09/13/2022
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