Organization
CERTIGEN LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KAY KIMREY MT(ASCP) (OPERATIONS MANAGER)
(918) 960-3150
Entity
Organization
Contact information
Practice address
9309 S TOLEDO AVE, SUITE A, TULSA, OK 74137-2752
(918) 960-3150
(918) 960-3154
Mailing address
PO BOX 649210, DALLAS, TX 75264-9210
(918) 960-3150
(918) 960-3154
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D2075661
OK
Other
Enumeration date
07/17/2014
Last updated
01/13/2025
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