Organization
MED-LABS LLC
Active
Other names
Pic Med of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SMALLWOOD M.D. (MEDICAL REVIEW OFFICER)
(918) 779-7400
Entity
Organization
Contact information
Practice address
11014 E 51ST ST, TULSA, OK 74146-5820
(918) 438-5005
(918) 438-5010
Mailing address
11014 E 51ST ST, TULSA, OK 74146-5820
(918) 438-5005
(918) 438-5010
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
20783
OK
Other
Enumeration date
12/10/2008
Last updated
12/21/2009
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