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 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 37D2281763
Medwise, LLC · Broken Arrow, OKFrequently 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 1730993460. It was assigned to this organization in the NPPES registry on February 4, 2025. The provider is also known as MedWise LLC - Broken Arrow East.
Where is Medwise LLC located?
Medwise LLC is located at 2550 N 9th St, Broken Arrow, OK 74012. The listed phone number is (918) 727-2850.
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 37D2281763) is associated with this NPI, valid through May 10, 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.
# Medwise Llc · NPI 1730993460
Urgent Care organization in Broken Arrow, Oklahoma. Organization record, active in the CMS NPPES registry since February 4, 2025.
## Identity
- **NPI:** 1730993460 (Entity type: Organization)
- **Enumerated:** February 4, 2025
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** MedWise LLC - Broken Arrow East (Other Name)
- **Organization subpart:** Yes (part of Medwise Llc)
- **Authorized official:** Dennis Blackstad, PRESIDENT
## Practice location
- **Address:** 2550 N 9TH ST, Broken Arrow, OK 74012-2897
- **Phone:** (918) 727-2850
## Record status
- **NPPES last updated:** February 4, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730993460) · Data from the CMS NPPES public registry.