Organization
PHOENIX MEDICAL LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALAN JONES (CO-OWNER)
(817) 271-1970
Entity
Organization
Contact information
Practice address
6312 E 101ST ST, TULSA, OK 74137-7007
(918) 438-7840
(918) 528-6648
Mailing address
6312 E 101ST ST, TULSA, OK 74137-7007
(918) 438-7840
(918) 528-6648
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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