Obx Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OBX LABORATORIES, LLC

Practice address

1313 Valwood Pkwy
Suite 240
Carrollton, TX 75006

Phone

(940) 220-7496

Fax

(866) 731-1999

NPI assigned

Apr 25, 2013

Last updated

Jul 20, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

OBX LABORATORIES, LLCAs reported in NPPES

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

Authorized official

Name

Lynn Fossum

Title

Chief Compliance Officer/Principal

Phone

(888) 644-0030

Specialties & licenses 1

Addresses

Part of

Obx Laboratories LLC

Locations

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1326482910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 VALWOOD PKWY",
            "address_2": "SUITE 240",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75006",
            "telephone_number": "940-220-7496",
            "fax_number": "866-731-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 VALWOOD PKWY",
            "address_2": "SUITE 240",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75006",
            "telephone_number": "940-220-7496",
            "fax_number": "866-731-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBX LABORATORIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OBX LABORATORIES, LLC",
        "enumeration_date": "2013-04-25",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "FOSSUM",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER/PRINCIPAL",
        "authorized_official_telephone_number": "888-644-0030"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Janae Oatis-Lamei, M.ED., BCBA
• Lauren Elizabeth Oberman, OTD, OTR
• Ebele Elizabeth Obialo, MD
• Uchenna Obiuku
• Adeline Obrzut Borsch
• Obx2 Laboratories, LLC
• Occumed Plus - C/FB, LLC (Occumed Plus - C/FB)
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Jasmine Ijagha Ochuru, FNP-BC

• Clinical Medical Laboratory in Carrollton, TX
• Providers in Carrollton, 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 Jul 20, 2017; 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.