OPTIMUM FAITH LAB CORP NPI 1952922908

NPI Information

NPI: 1952922908
Provider Name: OPTIMUM FAITH LAB CORP
Classification: Durable Medical Equipment & Medical Supplies - 332BN1400X
Entity Type: Organization

Specialization: Nursing Facility Supplies

Address:
1109 WASHINGTON ST
WAUKEGAN, IL
ZIP 60085
Phone: (224) 610-0434
Get Directions

OPTIMUM FAITH LAB CORP is a nursing facility supplies durable medical equipment medical supplies in Waukegan, IL. OPTIMUM FAITH LAB CORP NPI is 1952922908. The provider is registered as an organization entity type.

The provider's business location address is:

1109 WASHINGTON ST
WAUKEGAN, IL
ZIP 60085-301
Phone: (224) 610-0434
Fax: (855) 325-1872

The provider's authorized official is Opal Mullings .
The authorized official title is Manager and has the following contact phone number (224) 610-0434.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 4/30/2020.

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	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies			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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »