Organization
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Active
Parent organization
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Other names
Oklahoma City Indian Clinic Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Authorized official
MS. ROBYN R SUNDAY-ALLEN MPH, RN (CEO)
(405) 948-4900
Entity
Organization
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4936
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4936
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731010A
—
OK
01
—
371818
MEDICARE
—
01
—
37D0663081
CLIA
—
01
—
37D2025076
CLIA
—
Enumeration date
05/19/2008
Last updated
08/12/2020
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