37D0470934 CLIA NUMBER - PEDIATRIC GROUP, PLLC

Laboratory Demographics

CLIA Number: 37D0470934

Facility Name: PEDIATRIC GROUP, PLLC

Facility Address:
3330 NW 56TH, SUITE 400
OKLAHOMA CITY, OK
ZIP 73112
Get Directions

Facility Phone Number: 405 945-4220

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760744718

Taxonomy: 103G00000X - Clinical Neuropsychologist
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

CLIA Record

Field Name	Field Value
CLIA Number	37D0470934
LAB Type	Physician Office
Facility Name	PEDIATRIC GROUP, PLLC
Street	3330 NW 56TH, SUITE 400
City	OKLAHOMA CITY
State	OK
ZIP	73112
Phone	405 945-4220
CertificateType	4
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024