Oouida Young, RN

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

3722 Stonebranch LN
Loganville, GA 30052-6326

Phone

(314) 630-5310

Fax

(888) 398-3036

NPI assigned

Jan 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Medical Labs,LLC

  • Clinical Medical Laboratory
  • Loganville, GA
  • NPI 1427649680
  NPD Authorized official

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1700476348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 STONEBRANCH LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526326",
            "telephone_number": "314-630-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 STONEBRANCH LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526326",
            "telephone_number": "314-630-5310",
            "fax_number": "888-398-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "OOUIDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayyinah Wright, APRN
• Xala X Yang, APNP
• Aisa Yarns, RN, RRT
• Sarah Yikealo, M.S., CCC-SLP
• Elizabeth A Young, RN
• Tamora Ellen Young, LPC MAC
• Your Care at Home LLC
• Ijeoma Zama, FNP-BC
• Jordan Elise Zanders

• Clinical Medical Laboratory in Loganville, GA
• Providers in Loganville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.