Optimus Labs LLC

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

OPTIMUS LABS LLC

Practice address

570 Memorial Cir Ste 110
Ormond Beach, FL 32174-5063

Phone

(360) 434-0960

Fax

(386) 287-5776

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Shannon RileyNPI 1013664796

Title

Owner

Phone

(360) 434-0960

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Shannon Riley, VICE PRESIDENT OF OP

  • Laboratory Management Specialist/Technologist
  • Ormond Beach, FL
  • NPI 1013664796
  NPD Authorized official

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1740949387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 110",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745063",
            "telephone_number": "360-434-0960",
            "fax_number": "386-287-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 110",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745063",
            "telephone_number": "360-434-0960",
            "fax_number": "386-287-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-434-0960"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shannon@optimus-labs.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "570 Memorial Cir Ste 110",
            "city": "Ormond Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321745063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa M Olivero
• Omega 40 Sports Medicine
• Ondemandod LLC
• Onsite Phlebotomy Services
• Optim Spine and Health
• Orange Blossom Speech and Feeding, LLC
• Ormond Alf Management, LLC
• Ormond Aligned Chiropractic, LLC
• Ormond Beach Chiropractic LLC
• Ormond Beach Dental Care LLC

• Medical Laboratory Technician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Medical Laboratory Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.