OrganizationActive
Southeastern Clinical Inc
NPI 1306060504 · Clinical Pathology/Laboratory Medicine Physician · Mcalester, OK
Provider details
- NPI number
- 1306060504
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricky Judge, Medical Director(918) 423-6791
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
716 E Wyandotte Ave
Mcalester, OK 74501-5428
Phone: (918) 423-6791
Fax: (405) 948-6507
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 21568
Tulsa, OK 74121-1568
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.