All Medicaid billing entities listing SULLIVAN, JACK (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $2K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | OKC MEDICAL STOP LLC | OKLAHOMA CITY, OK | Clinical Medical Laboratory | $2K |