Organization
FAMILY MEDICAL LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN LOUCKS MT(ASCP),MA (OWNER)
(580) 233-2909
Entity
Organization
Contact information
Practice address
915 E OWEN K GARRIOTT RD, SUITE E, ENID, OK 73701-6156
(580) 233-2909
(580) 233-2937
Mailing address
915 E OWEN K GARRIOTT RD, SUITE E, ENID, OK 73701-6156
(580) 233-2909
(580) 233-2937
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D0472553
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100758450A
—
OK
01
—
690120393
PALMETO GBA RR MEDICARE
OK
Enumeration date
09/29/2006
Last updated
02/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us