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Organization

DELTA LABORATORY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY WOHLGEMUTH (BILLING MANAGER)
(405) 608-4107
Entity
Organization

Contact information

Practice address
300 N MERIDIAN AVE STE 100-S, OKLAHOMA CITY, OK 73107-6560
(405) 608-4107
(405) 217-0057
Mailing address
5909 NW EXPRESSWAY STE 300, OKLAHOMA CITY, OK 73132-5103

Taxonomy

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

Other

Enumeration date
07/11/2013
Last updated
07/11/2013
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