Organization
PRECISION HISTOLOGY LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET C. LUNDY HT(ASCP), HTL (PRESIDENT)
(405) 946-0118
Entity
Organization
Contact information
Practice address
3629 NW 19TH ST, OKLAHOMA CITY, OK 73107-2815
(405) 946-0118
(405) 946-5652
Mailing address
PO BOX 74940, OKLAHOMA CITY, OK 73147-0940
(405) 946-0118
(405) 946-5652
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200038780A
—
OK
Enumeration date
11/25/2005
Last updated
12/14/2009
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