NPI 1104213156

Provectus Diagnostics LLC

Organisation Clinical Medical Laboratory Tulsa, OK

Practice location

Address: 4150 S 100th East Ave Suite 105, Tulsa, OK 74146-3650
Phone: (918) 949-4526
Fax: (918) 949-4549

Authorised official

Name: Steven T McCormack
Title: Owner/Ceo
Phone: (626) 244-8200

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Oklahoma →

Registry record

NPI: 1104213156
Entity type: Organization
NPI issued: 16 Apr 2015
Record last updated: 29 Oct 2024

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.