Organization Active NPI

Optimum Solutions Laboratory

  • Clinical Medical Laboratory
  • Warner Robins, GA
National Provider Identifier
1720748437
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OPTIMUM SOLUTIONS LABORATORY
Practice address
42 Tiffany LN
Warner Robins, GA 31093-1038
Phone
(478) 244-1613
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Megan Ridley, MSHI, MLTNPI 1396404968
Title
Owner
Phone
(478) 244-1613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

42 Tiffany LN
Warner Robins, GA 31093-1038

Mailing address

42 Tiffany LN
Warner Robins, GA 31093-1038
Phone (478) 244-1613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1720748437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 TIFFANY LN",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931038",
            "telephone_number": "478-244-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 TIFFANY LN",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931038",
            "telephone_number": "478-244-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM SOLUTIONS LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-244-1613",
        "authorized_official_credential": "MSHI, MLT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.