MEDWISE LLC
NPI 1407656572
Durable Medical Equipment & Medical Supplies in Tulsa, OK

Active since March 17, 2025CLIA 37D2222055 · Waiver
8105 E 68TH ST, TULSA, OK 74133(918) 727-2811 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Medwise Llc NPPES

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

MEDWISE LLC (NPI 1407656572) is a healthcare organization registered as a durable medical equipment & medical supplies in Tulsa, Oklahoma and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Dennis Sidney Blackstad, President, as its authorized official.

NPPES Registry Identity

NPI1407656572
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMEDWISE LLC
Location Address8105 E 68TH STTulsa, OK 74133-2236
Mailing Address12902 E 51st StTulsa, OK 74134-6712 · (918) 994-3476
Organization SubpartYes
Authorized OfficialDennis Sidney BlackstadPresident · (918) 605-6582
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
NPI 1407656572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

8105 E 68TH ST, Tulsa, OK 74133

Other Names 1

Other NameMedwise Urgent Care - Woodland Hills

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 37D2222055

Medwise, LLC · Tulsa, OK
Active · expires Apr 26, 2027
CLIA Number37D2222055
Laboratory TypeUrgent Care
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorDennis Blackstad
Laboratory Phone(918) 727-2810
Laboratory LocationMedwise, LLC8105 E 68th St, Tulsa, OK 74133
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

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

Nurse Practitioner (Family)
8105 E 68TH ST
TULSA, OK 74133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407656572, enumerated as an "organization" on March 17, 2025.

The provider is located at 8105 E 68TH ST TULSA, OK 74133 and the phone number is (918) 727-2811.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.