Southeastern Clinical Inc

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

SOUTHEASTERN CLINICAL INC

Practice address

716 E Wyandotte Ave
McAlester, OK 74501-5428

Phone

(918) 423-6791

Fax

(405) 948-6507

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ricky L Judge, MD

Title

Medical Director

Phone

(918) 423-6791

Specialties & licenses 1

Addresses

Tax ID family

Southeastern Clinical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southeastern Clinical Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • McAlester, OK
  • NPI 1730204736
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306060504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21568",
            "address_2": "DEPT 148",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211568",
            "telephone_number": "405-947-8584",
            "fax_number": "405-948-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E WYANDOTTE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015428",
            "telephone_number": "918-423-6791",
            "fax_number": "405-948-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN CLINICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "918-423-6791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Wayne Sockey, D.D.S.
• Solace Behavioral Health Services
• Solidaritus Health Group PC
• Southeast Eye Surgery Clinic
• Southeast Oklahoma Medical Clinic, LLC
• Southeastern Clinical Inc
• Southeastern Medical Laboratory, Inc
• Southeastern Neurology, PC
• Southeastern Oklahoma Social Services Inc.
• Southeastern Psychiatric Services

• Clinical Pathology/Laboratory Medicine Physician in McAlester, OK
• Providers in McAlester, OK by specialty
• Clinical Pathology/Laboratory Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.