Active NPI
Southeastern Clinical Inc
- Anatomic Pathology & Clinical Pathology Physician
- McAlester, OK
National Provider Identifier
1730204736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 17491
- Legal business name
- SOUTHEASTERN CLINICAL INC
- Practice address
- 1 E Clark Bass Blvd
McAlester, OK 74501-4209 - Phone
- (405) 947-8584
- Fax
- (405) 948-6507
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricky Lynn Judge, MD
- Title
- President
- Phone
- (405) 947-8584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 17491 | OK | Primary |
Addresses
Primary practice location
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Mailing address
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (405) 947-8584
National Provider Directory
National Provider Directory- Tax ID family
- Southeastern Clinical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Pathology/Laboratory Medicine Physician
- McAlester, OK
- NPI 1306060504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730204736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E CLARK BASS BLVD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014209",
"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": "1 E CLARK BASS BLVD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014209",
"telephone_number": "405-947-8584",
"fax_number": "405-948-6507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN CLINICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JUDGE",
"authorized_official_first_name": "RICKY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-947-8584",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OK",
"license": "17491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAlester, OK
- Solace Behavioral Health Services
- Solidaritus Health Group PC (Solidaritus FHC - McAlester)
- Southeast Eye Surgery Clinic
- Southeast Oklahoma Medical Clinic, LLC
- Southeastern Clinical Inc
- Southeastern Medical Laboratory, Inc (Ricky L. Judge M.D.)
- Southeastern Neurology, PC
- Southeastern Oklahoma Social Services Inc.
- Southeastern Psychiatric Services
- Southeastern Psychiatric Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.