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Organization

DIAGNOSTIC LABORATORY OF OKLAHOMA LLC

Active
Other names
Transplant Immunology Laboratory
Organization subpart
No

Provider details

NPI number
Authorized official
R'NEE MULLEN (CEO)
(405) 608-6290
Entity
Organization

Contact information

Practice address
3300 NW EXPRESSWAY, HLA LABORATORY 2ND FLOOR #2259, OKLAHOMA CITY, OK 73112-4462
(405) 713-7002
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3661

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D2068295
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100758750A
OK
Enumeration date
01/24/2014
Last updated
10/01/2025
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