Odl Analytical, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ODL ANALYTICAL, LLC

Practice address

833 E Arapaho Rd Ste 112
Richardson, TX 75081-2245

Phone

(210) 251-3204

Fax

(210) 888-8443

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Mohammed Elshareif, MR.

Title

Owner

Phone

(708) 238-9913

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• na Former legal business name

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1013530682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 E ARAPAHO RD STE 112",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812245",
            "telephone_number": "210-251-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E ARAPAHO RD STE 112",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812245",
            "telephone_number": "210-251-3204",
            "fax_number": "210-888-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODL ANALYTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "ELSHAREIF",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-238-9913",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL MEDICAL LABORATORY",
            "identifier": "291U00000X",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.odlanalytical.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "833 E Arapaho Rd Ste 112",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750812245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.odlanalytical.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "833 E Arapaho Rd Ste 112",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750812245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "na",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Richardson, TX
• Providers in Richardson, 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 Mar 17, 2022; 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.