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Provectus Diagnostics LLC

Clinical Medical Laboratory in Tulsa, OK · enumerated 2015 · authorized official Steven Mccormack, Owner/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104213156

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Registry record

Entity type Organization (Type 2)
Legal business name Provectus Diagnostics LLC
Practice address 4150 S 100th East Ave, Suite 105, Tulsa, OK, 74146
Phone (918) 949-4526
Fax (918) 949-4549
Enumeration date Apr 16, 2015
Last updated in NPPES Oct 29, 2024

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Steven Mccormack
Title Owner/Ceo
Phone (626) 244-8200

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Provectus Diagnostics LLC?
The NPI for Provectus Diagnostics LLC is 1104213156, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Provectus Diagnostics LLC?
NPPES lists Steven Mccormack (Owner/Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-29.