NPI 1104763895

Oxygen Medical Diagnostic Lab

Organisation Clinical Laboratory Director (Non-physician) Merrillville, IN

Practice location

Address: 8300 Broadway STE D2, Merrillville, IN 46410-8603
Phone: (219) 306-0674

Authorised official

Name: Regina M Etim
Title: Ceo
Phone: (219) 306-0674

Registered specialties

Clinical Laboratory Director (Non-physician) Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247ZC0005X

Other Technician, Pathology providers in Indiana →

Registry record

NPI: 1104763895
Entity type: Organization
NPI issued: 30 Apr 2026
Record last updated: 30 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.