Organization
BISON DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GRAHAM (FOUNDER)
(616) 304-6264
Entity
Organization
Contact information
Practice address
13301 N MERIDIAN AVE STE 704B, OKLAHOMA CITY, OK 73120-9369
(405) 445-6001
(888) 972-7527
Mailing address
13301 N MERIDIAN AVE STE 704B, OKLAHOMA CITY, OK 73120-9369
(405) 445-6001
(888) 972-7527
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D2122926
OK
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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