MEDWISE LLC
NPI 1447064175
Clinic/Center - Urgent Care in Sand Springs, OK

Active since February 04, 2025CLIA 37D2211496 · Waiver
110 E 41ST ST, SAND SPRINGS, OK 74063(918) 727-2831 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medwise Llc NPPES

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

MEDWISE LLC (NPI 1447064175) is a healthcare organization registered as an urgent care in Sand Springs, Oklahoma and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Dennis Sidney Blackstad, President, as its authorized official.

NPPES Registry Identity

NPI1447064175
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMEDWISE LLC
Location Address110 E 41ST STSand Springs, OK 74063-3851
Mailing Address12902 E 51st StTulsa, OK 74134-6712 · (918) 994-3476
Organization SubpartYes
Authorized OfficialDennis Sidney BlackstadPresident · (918) 605-6582
Enumeration DateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
NPI 1447064175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
110 E 41ST ST, Sand Springs, OK 74063

Other Names 1

Other NameMedwise Llc - Sand Springs

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 37D2211496

Medwise, LLC · Sand Springs, OK
Active · expires Jan 27, 2027
CLIA Number37D2211496
Laboratory TypeUrgent Care
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorDennis Blackstad
Laboratory Phone(918) 727-2860
Laboratory LocationMedwise, LLC110 E 41st, Sand Springs, OK 74063
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Medwise LLC's NPI number?

The NPI number for Medwise LLC is 1447064175. It was assigned to this organization in the NPPES registry on February 4, 2025. The provider is also known as MedWise LLC - Sand Springs.

Where is Medwise LLC located?

Medwise LLC is located at 110 E 41st St, Sand Springs, OK 74063. The listed phone number is (918) 727-2831.

What is Medwise LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Medwise LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2211496) is associated with this NPI, valid through January 27, 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 Medwise LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.