SOUTHEASTERN CLINICAL INC – Clinical Pathology/Laboratory Medicine Physician, NPI 1306060504

SOUTHEASTERN CLINICAL INC is a healthcare provider. based in Mcalester, Oklahoma. specializing in Clinical Pathology/Laboratory Medicine Physician. The NPI Number for SOUTHEASTERN CLINICAL INC is 1306060504

Main info

Organization
Name
SOUTHEASTERN CLINICAL INC
NPI
1306060504
Phone
(918) 423-6791
Address
716 E WYANDOTTE AVE
Authorized Official
RICKY L JUDGE MEDICAL DIRECTOR MD
Enumeration Date
12 April 2007
Last Update Date
20 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for SOUTHEASTERN CLINICAL INC

  • 716 E WYANDOTTE AVE

    MCALESTER, OK 745015428

    Phone: (918) 423-6791

    Fax: (405) 948-6507

    Type: Location

  • PO BOX 21568

    DEPT 148

    TULSA, OK 741211568

    Phone: (405) 947-8584

    Fax: (405) 948-6507

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74501)

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Frequently asked questions

What number should I use to identify SOUTHEASTERN CLINICAL INC for billing?
Administrative and clinical systems typically use NPI 1306060504 for SOUTHEASTERN CLINICAL INC.
Does the public listing show SOUTHEASTERN CLINICAL INC as active?
SOUTHEASTERN CLINICAL INC's NPI record reflects an active status in NPPES.
What does the directory say SOUTHEASTERN CLINICAL INC does?
Insurance directories may phrase it differently, but here SOUTHEASTERN CLINICAL INC maps to Clinical Pathology/Laboratory Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SOUTHEASTERN CLINICAL INC?
SOUTHEASTERN CLINICAL INC is associated with Mcalester, Oklahoma in the same public data insurers reference.
Who maintains SOUTHEASTERN CLINICAL INC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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