OPTIMUS LABS LLC NPI 1740949387

NPI Information

NPI: 1740949387
Provider Name: OPTIMUS LABS LLC
Classification: Technician, Pathology - 246RM2200X
Entity Type: Organization

Specialization: Medical Laboratory

CLIA Number: 10D0908796

Address:
570 MEMORIAL CIR STE 110
ORMOND BEACH, FL
ZIP 32174
Phone: (360) 434-0960
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OPTIMUS LABS LLC is a medical laboratory technician pathology in Ormond Beach, FL. OPTIMUS LABS LLC NPI is 1740949387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

570 MEMORIAL CIR STE 110
ORMOND BEACH, FL
ZIP 32174-063
Phone: (360) 434-0960
Fax: (386) 287-5776

The provider's authorized official is Shannon Riley .
The authorized official title is Owner and has the following contact phone number (360) 434-0960.

The CLIA number assigned to this NPI record is 10D0908796 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 12/13/2021.

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
1	246RM2200X	Technician, Pathology	Medical Laboratory			Yes

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: 5/5/2024

NPI Synchronization or Removal

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