PEDISTAT, PLLC
NPI 1639515471
Clinic/Center - Urgent Care in Tulsa, OK
About Pedistat, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDISTAT, PLLC (NPI 1639515471), doing business as Pedistat, is a healthcare organization registered as an urgent care in Tulsa, Oklahoma and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Ethan Aaron Warlick, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
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 37D2064297
Pedistat, PLLC · Tulsa, OKOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pedistat, PLLC's NPI number?
The NPI number for Pedistat, PLLC is 1639515471. It was assigned to this organization in the NPPES registry on May 20, 2013. The provider is doing business as PediStat.
Where is Pedistat, PLLC located?
Pedistat, PLLC is located at 4710 E 51st St, Tulsa, OK 74135. The listed phone number is (918) 928-7828.
What is Pedistat, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Does Pedistat, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2064297) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pedistat, PLLC accept?
Health plans from CommunityCare and UnitedHealthcare list Pedistat, PLLC 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 Pedistat, PLLC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Pedistat, Pllc · NPI 1639515471
Urgent Care organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since May 20, 2013.
## Identity
- **NPI:** 1639515471 (Entity type: Organization)
- **Enumerated:** May 20, 2013
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** PediStat (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ethan Warlick, MEDICAL DIRECTOR
## Practice location
- **Address:** 4710 E 51ST ST, Tulsa, OK 74135-3704
- **Phone:** (918) 928-7828
## Record status
- **NPPES last updated:** December 1, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639515471) · Data from the CMS NPPES public registry.