Organization
DIAGNOSTIC LABORATORY OF OKLAHOMA LLC
Active
Parent organization
DIAGNOSTIC LABORATORY OF OKLAHOMA LLC
Other names
Integris Southwest Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC LABORATORY OF OKLAHOMA LLC
Authorized official
R'NEE MULLEN (CEO)
(405) 608-6290
Entity
Organization
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7041
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3661
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D0470622
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100758750J
—
OK
Enumeration date
02/07/2008
Last updated
10/01/2025
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