Organization
CALDWELL TOXICOLOGY LABS LLC
Active
Other names
Cogent Medical Lab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E GATES (PRESIDENT)
(918) 794-0106
Entity
Organization
Contact information
Practice address
7133 RIVERSIDE PARKWAY, SUITE A, TULSA, OK 74136
(918) 543-5356
Mailing address
7133 RIVERSIDE PARKWAY, SUITE A, TULSA, OK 74136
(918) 543-5356
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
OK
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200537680A
—
OK
Enumeration date
10/08/2013
Last updated
05/02/2017
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