Provider First Line Business Practice Location Address:
3300 NW EXPRESSWAY
Provider Second Line Business Practice Location Address:
HLA LABORATORY 2ND FLOOR #2259
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73112-4462
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-713-7002
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2014