Provider Demographics
NPI:1295114148
Name:HEALTHCARE UNLIMITED LLC
Entity type:Organization
Organization Name:HEALTHCARE UNLIMITED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-235-6709
Mailing Address - Street 1:1450 CARSON RD
Mailing Address - Street 2:
Mailing Address - City:SALLISAW
Mailing Address - State:OK
Mailing Address - Zip Code:74955-7080
Mailing Address - Country:US
Mailing Address - Phone:918-235-6709
Mailing Address - Fax:918-235-6711
Practice Address - Street 1:1450 CARSON RD
Practice Address - Street 2:
Practice Address - City:SALLISAW
Practice Address - State:OK
Practice Address - Zip Code:74955-7080
Practice Address - Country:US
Practice Address - Phone:918-235-6709
Practice Address - Fax:918-235-6711
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE UNLIMITED LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK37D2089131OtherCERTIFICATE OF REGISTRATION