Octagon Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OCTAGON LAB INC

Practice address

111 Brixham PL
Schaumburg, IL 60194-4003

Phone

(224) 659-4622

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Muhammad Mubashir Siddiqui

Title

President

Phone

(224) 659-4622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1013793017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BRIXHAM PL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BRIXHAM PL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944003",
            "telephone_number": "224-659-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAGON LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MUHAMMAD MUBASHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-659-4622"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasir Obaidi, DDS
• Joyann Louise Oberman, LPC,NCC,ICDVP,CCTP
• Thomas Stuart Obermeyer Jr., MD
• Nidia Ocampo
• Occupational Health Centers of Illinois PC
• Kimberly J Oda, R.PH.
• Michael R Odonnell, MD
• Stefanie Odonnell, M.S., CCC-SLP
• Susan Marie Ofria, RD
• Irina Ofrikhter, M.S. SLP-CCC

• Clinical Medical Laboratory in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.