Provider Demographics
NPI:1881933224
Name:DOCTOX LLC
Entity type:Organization
Organization Name:DOCTOX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-879-1704
Mailing Address - Street 1:11063 S MEMORIAL DR # 518D
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7347
Mailing Address - Country:US
Mailing Address - Phone:918-879-1700
Mailing Address - Fax:918-879-1704
Practice Address - Street 1:9320 S MINGO RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5710
Practice Address - Country:US
Practice Address - Phone:918-879-1704
Practice Address - Fax:918-879-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory