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Organization

TULSA MEDICAL LABORATORY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER CHARLES (BUSINESS MANAGER)
(918) 281-6808
Entity
Organization

Contact information

Practice address
5110 S YALE AVE STE 100, TULSA, OK 74135-7438
(918) 712-5571
(918) 747-7831
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
37D1002749
OK
291U00000X
Clinical Medical Laboratory
Primary
37D1002749
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100707130A
OK
Enumeration date
08/24/2006
Last updated
10/29/2025
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