Organization Active NPI

Optimal Lab Inc

  • Clinical Medical Laboratory
  • Paterson, NJ
National Provider Identifier
1285378356
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OPTIMAL LAB INC
Practice address
714 Broadway
Paterson, NJ 07514-3402
Phone
(973) 341-3844
Fax
(973) 341-4558
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Haidy Mohamed
Title
Office Manager
Phone
(929) 204-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

714 Broadway
Paterson, NJ 07514-3402

Mailing address

714 Broadway
Paterson, NJ 07514-3402
Phone (973) 341-3844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1285378356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075143402",
            "telephone_number": "973-341-3844",
            "fax_number": "973-341-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075143402",
            "telephone_number": "973-341-3844",
            "fax_number": "973-341-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HAIDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "929-204-5564"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.