NPI 1508207242
St. Mary's Laboratory, LLC
Practice location
- Address
- 3517 W Owen K Garriott Rd Suite 5, Enid, OK 73703-4952
- Phone
- (580) 234-6800
- Fax
- (580) 237-1828
- Mailing address
- PO Box 844737, Dallas, TX 75284-4737
Authorised official
- Name
- John Johannessen
- Title
- Vice President
- Phone
- (903) 416-1726
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1508207242
- Entity type
- Organization
- NPI issued
- 10 Jul 2013
- Record last updated
- 28 Aug 2014
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.