The Olisa Foundation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

M (ASCP) 3555 Issued in NM

Legal business name

THE OLISA FOUNDATION

Practice address

7362 Remcon Cir Ste 644
El Paso, TX 79912-1623

Phone

(915) 208-4431

NPI assigned

Nov 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nzedegwu Robert Olisa III, PHD, MPA, MS, MASCP

Title

Ceo

Phone

(202) 855-3479

Specialties & licenses 10

Addresses

Other identifiers 2

Other names 3

• American Journal of Biological Defense Doing business as
• El-Paso Sub-Saharan Africa Union (ESAU) Chamber of Commerce Doing business as
• International Molecular Diagnostic and Research Laboratories Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738454400000",
    "number": "1013284546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PICKETT RD UNIT 2121",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220318107",
            "telephone_number": "915-208-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 REMCON CIR STE 644",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121623",
            "telephone_number": "915-208-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "P.M.B 663",
            "address_2": "Moshood Abiola Way Garki",
            "address_purpose": "LOCATION",
            "city": "Abuja",
            "state": "Nigeria",
            "postal_code": "900247",
            "country_code": "NG",
            "telephone_number": "808-322-3844",
            "country_name": "Nigeria",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "organization_name": "THE OLISA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "OLISA",
        "authorized_official_first_name": "NZEDEGWU",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-855-3479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD, MPA, MS, MASCP"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": "M (ASCP) 3555",
            "primary": true
        },
        {
            "code": "331L00000X",
            "taxonomy_group": "",
            "desc": "Blood Bank",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NM",
            "license": "RM (NRCM) 55214696",
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "ZZ",
            "license": "NAFDAC  A7469L",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "9068479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA-CAP",
            "identifier": "8725411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Journal of Biological Defense",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El-Paso Sub-Saharan Africa Union (ESAU) Chamber of Commerce",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "International Molecular Diagnostic and Research Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.