Organization
OKLAHOMA BLOOD INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL G STARK (CHIEF FINANCIAL OFFICER)
(405) 297-5501
Entity
Organization
Contact information
Practice address
1001 N LINCOLN BLVD, OKLAHOMA CITY, OK 73104-3251
(405) 297-5511
(405) 228-9911
Mailing address
1001 N LINCOLN BLVD, OKLAHOMA CITY, OK 73104-3251
(405) 297-5511
(405) 228-9911
Taxonomy
Speciality
Code
Description
License number
State
331L00000X
Blood Bank
Primary
37D0470358
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-HL01
CMS PTAN
OK
Enumeration date
12/19/2011
Last updated
12/19/2011
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