Opko Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OPKO LAB, LLC

Practice address

863 Mitten Rd
Suite C
Burlingame, CA 94010-1307

Phone

(650) 259-9565

Fax

(615) 345-4653

NPI assigned

Feb 26, 2013

Last updated

Dec 23, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

OPKO LAB, LLCAs reported in NPPES

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

Authorized official

Name

Laurel Kate Inman

Title

Secretary

Phone

(305) 575-4138

Specialties & licenses 1

Addresses

Part of

Opko Ourlab LLC

Locations

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1679813828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372104531",
            "telephone_number": "615-874-0410",
            "fax_number": "615-345-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 MITTEN RD",
            "address_2": "SUITE C",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101307",
            "telephone_number": "650-259-9565",
            "fax_number": "615-345-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPKO LAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPKO LAB, LLC",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "305-575-4138"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Bryce Olivares
• Akira Olsen, PSY.D.
• Stephanie Oltmann
• Ellen Ong
• Opko Lab, LLC
• Philip Michael Oravetz, MD, MPH, MBA
• Randi D Osburn, EDS
• Robert A. Osterhoff, M.D.
• Gregory Ota
• Robin Ottesen, M.S.

• Clinical Medical Laboratory in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.