Organization
SOUTHEASTERN MEDICAL LABORATORY, INC
Active
Other names
Ricky L. Judge M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY L JUDGE M.D. (PRESIDENT)
(918) 423-6791
Entity
Organization
Contact information
Practice address
716 E WYANDOTTE AVE, MCALESTER, OK 74501-5428
(918) 423-6791
(918) 423-1603
Mailing address
PO BOX 399, MCALESTER, OK 74502-0399
(918) 423-6791
(918) 423-1603
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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