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Organization

MID STAR LAB INC

Active
Other names
Mid Star Lab, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER DAWN O'BRIEN (OWNER/ CEO)
(913) 369-8734
Entity
Organization

Contact information

Practice address
5476 MAIN ST STE 102, DEL CITY, OK 73115-5523
(405) 771-6771
(844) 409-6687
Mailing address
1701 COMMERCE RD, TONGANOXIE, KS 66086-5369
(913) 369-8734
(844) 409-6687

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
06/15/2017
Last updated
04/21/2026
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