Optimum Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OPTIMUM LAB SERVICES LLC

Practice address

6914 S Yorktown Ave Ste 110
Tulsa, OK 74136-3933

Phone

(610) 842-4075

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Michael Blundetto

Title

Member

Phone

(610) 842-4075

Specialties & licenses 1

Addresses

Other names 1

• caldwell toxicology labs llc Doing business as

Locations

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1629666573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 BALTIMORE PIKE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177368",
            "telephone_number": "610-842-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 S YORKTOWN AVE STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363933",
            "telephone_number": "610-842-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "BLUNDETTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-842-4075"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "caldwell toxicology labs llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Naomi Marie Orcutt

• Clinical Medical Laboratory in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.