Organization
OKC MEDICAL STOP LLC
Active
Other names
OKC COVID Testing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SULLIVAN (OWNER)
(405) 625-2024
Entity
Organization
Contact information
Practice address
10717 N MAY AVE, OKLAHOMA CITY, OK 73120-2620
(405) 625-2024
Mailing address
10717 N MAY AVE, OKLAHOMA CITY, OK 73120-2620
(405) 625-2024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/11/2021
Last updated
09/13/2022
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