Optimum Diagnostic Laboratory LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

OPTIMUM DIAGNOSTIC LABORATORY LLC

Practice address

785 H King George Boulevard Suite D 1136
Savannah, GA 31419-9551

Phone

(800) 588-3410

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Eleanor Quarterman, FNP-BCNPI 1750007878

Title

Owner/Ceo

Phone

(800) 588-3410

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eleanor Quarterman, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Garden City, GA
  • NPI 1750007878

  Family

  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1245082536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 H KING GEORGE BOULEVARD SUITE D 1136",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199551",
            "telephone_number": "800-588-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 H KING GEORGE BOULEVARD SUITE D 1136",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199551",
            "telephone_number": "800-588-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM DIAGNOSTIC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "QUARTERMAN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "800-588-3410",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.