PROVECTUS DIAGNOSTICS LLC
NPI 1104213156
Clinical Medical Laboratory in Tulsa, OK

Active since April 16, 2015
4150 S 100TH EAST AVE, SUITE 105, TULSA, OK 74146(918) 949-4526(918) 949-4549 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2023, Jul 15, 2021 (2 updates tracked since 2021).

About Provectus Diagnostics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVECTUS DIAGNOSTICS LLC (NPI 1104213156) is a healthcare organization registered as a clinical medical laboratory in Tulsa, Oklahoma and active in the NPI registry since April 2015. The organization lists Steven T Mccormack, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1104213156
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROVECTUS DIAGNOSTICS LLC
Location Address4150 S 100TH EAST AVE, SUITE 105Tulsa, OK 74146-3650
Mailing Address4150 S 100th East Ave, Suite 105Tulsa, OK 74146-3650 · (918) 949-4526 · Fax (918) 949-4549
Fax(918) 949-4549
Organization SubpartNo
Authorized OfficialSteven T MccormackOwner/ceo · (626) 244-8200
Enumeration DateApril 16, 2015
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1104213156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

4150 S 100TH EAST AVE, Tulsa, OK 74146

Accepted Insurance

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
17 services17 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
4150 S 100TH EAST AVE, SUITE 200P
TULSA, OK 74146
Counselor (Professional)
4150 S 100TH EAST AVE, SUITE 200-C
TULSA, OK 74146
In Home Supportive Care
4150 S 100TH EAST AVE, STE. 200Z
TULSA, OK 74146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provectus Diagnostics LLC's NPI number?

The NPI number for Provectus Diagnostics LLC is 1104213156. It was assigned to this organization in the NPPES registry on April 16, 2015.

Where is Provectus Diagnostics LLC located?

Provectus Diagnostics LLC is located at 4150 S 100th East Ave Suite 105, Tulsa, OK 74146. The listed phone number is (918) 949-4526.

What is Provectus Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

What insurance does Provectus Diagnostics LLC accept?

Health plans from Medica and Mending Health list Provectus Diagnostics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Provectus Diagnostics LLC was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.