OrganizationPhoenix Medical Lab LlcClinical Medical LaboratoryLaboratoriesPractice Address6312 E 101st St, Tulsa, OK 74137-7007(918) 438-7840PECOS EnrollmentBased on the most recent information from CMS, provider Phoenix Medical Lab Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1104696517Provider TypeOrganizationFull NamePhoenix Medical Lab LlcSubpartNoEnumeration Date1/5/2024Last Updated1/5/2024Contact InformationPractice LocationPractice Address6312 E 101st St, Tulsa, OK 74137-7007Phone(918) 438-7840Fax(918) 528-6648Mailing LocationMailing Address6312 E 101st St, Tulsa, OK 74137-7007Phone(918) 438-7840Fax(918) 528-6648Authorized OfficialNameJones, John Alan (Co-Owner)Phone(817) 271-1970Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicenseUnlisted Issuer