OrganizationActive
Immediate Care of Oklahoma - Se Okc Lab
NPI 1679231229 · Clinical Medical Laboratory · Oklahoma City, OK
Provider details
- NPI number
- 1679231229
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Kevin Penwell, President/Com(405) 600-6869
Specialties & taxonomies
Laboratories
Practice location
5700 Se 74th Street
Suite 100
Oklahoma City, OK 73135-1087
Phone: (405) 400-1096
Fax: (405) 600-6978
Approximate (ZIP-level) locationGet directions
Mailing address
5701 Se 74th Street
Oklahoma City, OK 73135-1110
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.