Organization
PERFORMANCE LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIYA MUSTAFA (OWNER/CEO)
(770) 557-2323
Entity
Organization
Contact information
Practice address
500 NORTH WALKER AVENUE, SUITE 150, OKLAHOMA CITY, OK 73102-1657
(405) 601-7100
(405) 601-7180
Mailing address
500 NORTH WALKER AVENUE, SUITE 150, OKLAHOMA CITY, OK 73102-1657
(405) 601-7100
(405) 601-7180
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
09/19/2019
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