Oxygen Medical Diagnostic Lab

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

OXYGEN MEDICAL DIAGNOSTIC LAB

Practice address

8300 Broadway Ste D2
Merrillville, IN 46410-8603

Phone

(219) 306-0674

NPI assigned

Apr 30, 2026

Last updated

Apr 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina M Etim, HEALTHCARE SPECIALIS

Title

Ceo

Phone

(219) 306-0674

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1104763895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE D2",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108603",
            "telephone_number": "219-306-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE D2",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108603",
            "telephone_number": "219-306-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYGEN MEDICAL DIAGNOSTIC LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "ETIM",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-306-0674",
        "authorized_official_credential": "HEALTHCARE SPECIALIS"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Laboratory Director (Non-physician) in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Laboratory Director (Non-physician) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.