OrganizationActive
Oxygen Medical Diagnostic Lab
NPI 1104763895 · Clinical Laboratory Director (Non-physician) · Merrillville, IN
Provider details
- NPI number
- 1104763895
- Entity type
- Organization
- Primary specialty
- Clinical Laboratory Director (Non-physician)Technologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Regina Etim, Ceo(219) 306-0674
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
8300 Broadway Ste D2
Merrillville, IN 46410-8603
Phone: (219) 306-0674
Approximate (ZIP-level) locationGet directions
Mailing address
8300 Broadway Ste D2
Merrillville, IN 46410-8603
Registry dates
- Enumerated
- 2026-04-30
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.