OrganizationActive
Grady Memorial Hospital
NPI 1669558789 · Clinical Medical Laboratory · Chickasha, OK
Provider details
- NPI number
- 1669558789
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Steve Pautler, Ceo(405) 779-2150
Specialties & taxonomies
Laboratories
Practice location
2100 W Iowa Ave
Chickasha, OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2346
Approximate (ZIP-level) locationGet directions
Mailing address
2100 W Iowa Ave
Chickasha, OK 73018-2736
Other names (DBA / former)
- Doing business as
- Fomg Clinical Medical Laboratory
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.