Optimum Labworks LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OPTIMUM LABWORKS LLC

Practice address

6885 Bauman St
Bonners Ferry, ID 83805-8723

Phone

(208) 991-0480

Fax

(888) 378-3007

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

John William Baisden

Title

Ceo

Phone

(208) 991-0480

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1487179719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 BAUMAN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058723",
            "telephone_number": "208-991-0480",
            "fax_number": "888-378-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 BAUMAN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058723",
            "telephone_number": "208-991-0480",
            "fax_number": "888-378-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM LABWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "BAISDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-991-0480"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuck Lee Newhouse, MD
• North 45 Eye PLLC
• North Idaho Classical Academy LLC
• North Idaho Family Dentistry
• Nurse Practitioner Connect LLC
• Amy Bethany Owens
• Pamela Schudar Svec Inc
• Partnerships for Inclusion, Inc.
• Partnerships for Inclusion, Inc.
• Rita Pensmith, RRT

• Clinical Medical Laboratory in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Clinical Medical Laboratory in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.