# OKC MEDICAL STOP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OKC COVID Testing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720671688
- **Authorized official:** MR. JACK SULLIVAN (OWNER)
- **Authorized official phone:** (405) 625-2024

## Contact information

- **Practice address:** 10717 N MAY AVE, OKLAHOMA CITY, OK 73120-2620
- **Practice address phone:** (405) 625-2024
- **Mailing address:** 10717 N MAY AVE, OKLAHOMA CITY, OK 73120-2620
- **Mailing address phone:** (405) 625-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 02/11/2021
- **Last updated:** 09/13/2022