MEDWISE LLC
NPI 1730993460
Clinic/Center - Urgent Care in Broken Arrow, OK
About Medwise Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDWISE LLC (NPI 1730993460) is a healthcare organization registered as an urgent care in Broken Arrow, Oklahoma and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Dennis Sidney Blackstad, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D2281763
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- May 11, 2025
- Certificate Expiration Date
- May 10, 2027
- Laboratory Director
- DENNIS BLACKSTAD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medwise Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730993460, enumerated as an "organization" on February 04, 2025.
The provider is located at 2550 N 9TH ST BROKEN ARROW, OK 74012 and the phone number is (918) 727-2850.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
