Organization
DIAGNOSTIC LABORATORY OF OKLAHOMA LLC
Active
Other names
Baptist Regional Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
R'NEE MULLEN (CEO)
(405) 608-6290
Entity
Organization
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 542-6611
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3661
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D0667302
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100758750P
—
OK
Enumeration date
12/12/2007
Last updated
10/01/2025
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