NPI 1548034630

Mattison Pathology LLP

Organisation Clinical Medical Laboratory Edmond, OK

Practice location

Address: 1800 Renaissance Blvd STE L100, Edmond, OK 73013-3023
Phone: (866) 987-7284
Mailing address: 6221 Riverside Dr STE 119, Irving, TX 75039-3515

Authorised official

Name: Andrew E Wyne
Title: Cfo
Phone: (208) 381-2477

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Oklahoma →

Registry record

NPI: 1548034630
Entity type: Organization
NPI issued: 9 Nov 2023
Record last updated: 9 Nov 2023

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.