Organization
XYZ MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY JIMENEZ (AUTHORIZED OFFICIAL)
(929) 368-9569
Entity
Organization
Contact information
Practice address
104 W OHIO AVE STE 200, COALGATE, OK 74538-2827
(918) 423-7191
Mailing address
856 E 227TH ST # 1, BRONX, NY 10466-4421
(929) 368-9569
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
02/09/2026
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