Organization Active NPI

Optima Laboratory LLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1992634315
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTIMA LABORATORY LLC
Practice address
4616 N 51St Ave Ste 214
Phoenix, AZ 85031-1721
Phone
(307) 622-9550
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Khaja Pasha
Title
Owner
Phone
(307) 622-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4616 N 51St Ave Ste 214
Phoenix, AZ 85031-1721

Mailing address

4616 N 51St Ave Ste 214
Phoenix, AZ 85031-1721
Phone (307) 622-9550

National Provider Directory

National Provider Directory

Locations

4616 N 51st Ave
Ste 214
Phoenix, AZ 85031
Phone (254) 749-7016

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1992634315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE STE 214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311721",
            "telephone_number": "307-622-9550",
            "fax_number": "312-395-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE STE 214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311721",
            "telephone_number": "307-622-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "PASHA",
        "authorized_official_first_name": "KHAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-622-9550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.