Organization
NEO SERVICES, LLC
Active
Other names
Northeastern Oklahoma Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN PAYNE (COO)
(918) 744-1001
Entity
Organization
Contact information
Practice address
7020 S UTICA AVE, TULSA, OK 74136-3907
(918) 728-8904
(918) 744-9729
Mailing address
7020 S UTICA AVE, TULSA, OK 74136-3907
(918) 728-8904
(918) 744-9729
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200517820A
—
OK
Enumeration date
03/04/2019
Last updated
08/03/2020
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