PEDISTAT PLLC NPI 1639515471

NPI Information

  • NPI: 1639515471
  • Provider Name: PEDISTAT, PLLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: PEDISTAT
  • CLIA Number: 37D2064297
  • Address: 3354 E 51ST ST
    TULSA, OK
    ZIP 74135
  • Phone: (918) 853-1634

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NPI Details

PEDISTAT, PLLC is an urgent care clinic center in Tulsa, OK. PEDISTAT, PLLC NPI is 1639515471. The provider is registered as an organization entity type.
The provider Is Doing Business As Pedistat.

The provider's business location address is:

3354 E 51ST ST
TULSA, OK
ZIP 74135-512
Phone: (918) 853-1634

The provider's authorized official is Ethan Aaeon Warlick .
The authorized official title is President and has the following contact phone number (918) 853-1634.

The CLIA number assigned to this NPI record is 37D2064297 - other - urgent care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent Care21053OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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