Provider Type Icon

OPTIMUM FAITH LAB CORP NPI 1245772748


NPI Information

NPI: 1245772748
Provider Name: OPTIMUM FAITH LAB CORP
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1360 N GREEN BAY RD
WAUKEGAN, IL
ZIP 60085
Phone: (224) 610-0434
Get Directions

OPTIMUM FAITH LAB CORP is a clinical medical laboratory in Waukegan, IL. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. OPTIMUM FAITH LAB CORP NPI is 1245772748. The provider is registered as an organization entity type.

The provider's business location address is:

1360 N GREEN BAY RD
WAUKEGAN, IL
ZIP 60085-104
Phone: (224) 610-0434
Fax: (855) 325-1872

The provider's authorized official is Opal Mullings .
The authorized official title is Manager and has the following contact phone number (224) 610-0434.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 12/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.