Organization
ADVANCED LABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SAMPLES (CREDENTIALING SPECIALIST)
(405) 605-2777
Entity
Organization
Contact information
Practice address
300 N MERIDIAN AVE, SUITE 205-S, OKLAHOMA CITY, OK 73107-6560
(405) 605-2777
(405) 602-1235
Mailing address
PO BOX 638823, CINCINNATI, OH 45263-8823
(405) 605-2777
(405) 605-2776
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D2059506
OK
Other
Enumeration date
09/24/2009
Last updated
10/01/2015
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