NPI 1063743052

Tulsa Medical Laboratory, LLC

Organisation Anatomic Pathology & Clinical Pathology Physician Tulsa, OK

Practice location

Address: 6565 S Yale Ave Suite 410, Tulsa, OK 74136-8327
Phone: (918) 481-7859
Fax: (918) 747-7831
Mailing address: 2738 E 51st St Suite 290, Tulsa, OK 74105-6231

Authorised official

Name: Rick D Gillis
Title: Business Manager
Phone: (918) 712-5571

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

Other Pathology providers in Oklahoma →

Registry record

NPI: 1063743052
Entity type: Organization
NPI issued: 15 Jan 2010
Record last updated: 28 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.