Organization
INTENSIVE CARE INC
Active
Other names
enid clinical lab
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J CARLBOM M.D. (PRESIDENT)
(800) 579-5935
Entity
Organization
Contact information
Practice address
3517 W OWEN K GARRIOTT RD STE 5, ENID, OK 73703-4953
(800) 579-5935
Mailing address
4012 S RAINBOW BLVD, STE K320, LAS VEGAS, NV 89103-2010
(800) 579-5935
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D0472525
OK
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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