Orbital Diagnostic, LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

ORBITAL DIAGNOSTIC, LLC

Practice address

921 E Dupont Rd # 888
Fort Wayne, IN 46825-1551

Phone

(260) 200-5018

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By 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

Lizette Morin

Title

MDMS Npi Compliance Officer

Phone

(210) 598-2800

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1568928455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E DUPONT RD # 888",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E DUPONT RD # 888",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251551",
            "telephone_number": "260-200-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORBITAL DIAGNOSTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "MDMS NPI COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ophthalmology Consultants of Fort Wayne, P.C.
• Danny Lee Opoien, R.PH.
• Francisca Opoku
• Opulent Home Care
• Oral & Maxillofacial Surgery Associates PC
• Dmytro Orel, MD
• Caleb Oren
• Origins Developmental LLC
• Orl PC
• Nicolas Orleans, CRNA

• Clinical Neurophysiology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Neurophysiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.