Organization · Type 2 NPI
Oxygen Medical Diagnostic Lab
Clinical Laboratory Director (Non-physician) · Merrillville, IN
NPI number
1104763895
Active
Practice location
8300 Broadway Ste D2
Merrillville, IN 46410-8603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
2 other providers at this address
Other clinical laboratory director (non-physician) providers in Merrillville
About NPI 1104763895
Oxygen Medical Diagnostic Lab's National Provider Identifier is 1104763895, issued on Apr 30, 2026. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Merrillville, IN. The record was last updated on Apr 30, 2026.