Organization
NATIONAL LABORATORY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CLARY (SECRETARY)
(918) 830-5601
Entity
Organization
Contact information
Practice address
5805 E 15TH ST STE 104, TULSA, OK 74112-6401
(918) 830-5601
(541) 488-7721
Mailing address
4554 S HARVARD AVE, TULSA, OK 74135-2906
(918) 830-5601
(541) 488-7721
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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