Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Provectus Diagnostics LLC

Organization Clinical Medical Laboratory · NPI 1104213156

Provectus Diagnostics LLC is a Clinical Medical Laboratory in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4150 S 100th East Ave Ste 105
Tulsa, OK 74146-3650
Phone: (918) 949-4526
Fax: (918) 949-4549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (OK)

Record details

NPI number1104213156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven McCormack — Owner/Ceo · (626) 244-8200
NPI enumeratedApril 16, 2015
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address4150 S 100th East Ave, Suite 105, Tulsa, OK 74146-3650

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