OPTIMUM FAITH LAB CORP; NPI #1952922908

Contact Information

OPTIMUM FAITH LAB CORP

1109 WASHINGTON ST
WAUKEGAN, IL 60085-5301

Phone: 224-610-0434
Fax: 855-325-1872
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Facility Supplies	332BN1400X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for OPTIMUM FAITH LAB CORP

NPI #	`1952922908`
LBN Legal business name	OPTIMUM FAITH LAB CORP
Authorized official	OPAL MULLINGS - (MANAGER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	04/30/2020
Last updated	04/30/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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OPTIMUM FAITH LAB CORP

Contact Information

Specialty

Nursing Facility Supplies

NPI Profile & details for OPTIMUM FAITH LAB CORP

Reviews for OPTIMUM FAITH LAB CORP