Organization
QUALITYCARE LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER HOGAN (OPERATIONS MANAGER)
(405) 418-2929
Entity
Organization
Contact information
Practice address
3304 SE LOOP 820, FORT WORTH, TX 76140-1113
(844) 381-7873
Mailing address
5401 N PORTLAND AVE STE 240, OKLAHOMA CITY, OK 73112-2082
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2079250
CLIA
—
Enumeration date
02/22/2018
Last updated
02/22/2018
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