Black Hawk Labs Llc | Tulsa, OK • PECOS Search

Black Hawk Labs Llc

Clinical Medical Laboratory

Laboratories

6312 E 101st St, Tulsa, OK 74137-7007

(918) 986-7118 (918) 512-1559

PECOS Enrollment

Based on the most recent information from CMS, provider Black Hawk Labs Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 3:36 PM.

Profile Details

Provider ID
1356087332
Provider Type
Organization
Full Name
Black Hawk Labs Llc

Subpart
No
Enumeration Date
5/11/2022
Last Updated
9/16/2022

Contact Information

Practice Location

6312 E 101st St, Tulsa, OK 74137-7007

Unlisted Fax

Mailing Location

6312 E 101st St, Tulsa, OK 74137-7007

Unlisted Fax

Authorized Official

Ferguson, Christina (Owner)

Provider Taxonomies

Code	Description	License
Code 291U00000X Primary	Description Clinical Medical Laboratory Laboratories	License Unlisted Issuer