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OSU-AJ OSU MEDICINE CLEVELAND
NPI 1164131967
Clinic/Center in Cleveland, OK

Active since November 21, 2022CLIA 37D0473158 · Waiver
119 S BROADWAY ST, CLEVELAND, OK 74020(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Osu-aj Osu Medicine Cleveland NPPES

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

OSU-AJ OSU MEDICINE CLEVELAND (NPI 1164131967) is a healthcare organization registered as a clinic/center in Cleveland, Oklahoma and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Eric John Polak, Vice President Of Admin/finance, as its authorized official.

NPPES Registry Identity

NPI1164131967
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOSU CENTER FOR HEALTH SCIENCES
Location Address119 S BROADWAY STCleveland, OK 74020-4614
Mailing Address1716 S Phoenix AveTulsa, OK 74107-1850 · (918) 561-8306 · Fax (918) 561-5747
Phone(918) 561-8306
Fax(918) 561-5747
Organization SubpartNo
Authorized OfficialEric John PolakVice President Of Admin/finance · (918) 561-8422
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1164131967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
119 S BROADWAY ST, Cleveland, OK 74020
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Other Names 1

Doing Business AsOsu-aj Osu Medicine Cleveland

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0473158

Osu Medicine Cleveland · Cleveland, OK
Active · expires Apr 23, 2027
CLIA Number37D0473158
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorPerry W. Evans Jr
Laboratory Phone(918) 358-2592
Laboratory LocationOsu Medicine Cleveland119 South Broadway, Cleveland, OK 74020
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

PERRY W EVANS JR DO PC
Family Medicine
119 S BROADWAY ST
CLEVELAND, OK 74020
Pawnee County (918) 358-2592
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center (Medical Specialty)
119 S BROADWAY ST
CLEVELAND, OK 74020
Pawnee County (918) 561-8306
DR. PERRY WILLIAM EVANS JR. DO
Family Medicine
119 S BROADWAY ST
CLEVELAND, OK 74020
Pawnee County (918) 358-2592

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 Osu Center For Health Sciences's NPI number?

The NPI number for Osu Center For Health Sciences is 1164131967. It was assigned to this organization in the NPPES registry on November 21, 2022. The provider is doing business as Osu-Aj Osu Medicine Cleveland.

Where is Osu Center For Health Sciences located?

Osu Center For Health Sciences is located at 119 S Broadway St, Cleveland, OK 74020. The listed phone number is (918) 561-8306.

What is Osu Center For Health Sciences's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Osu Center For Health Sciences hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0473158) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Osu Center For Health Sciences was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.