Oxygen Medical Diagnostic Lab
NPI 1104763895 · Clinical Laboratory Director (Non-physician) · Merrillville, IN
Oxygen Medical Diagnostic Lab is a Clinical Laboratory Director (Non-physician) organization in Merrillville, IN (NPI 1104763895).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-30
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Frequently asked questions
- What is Oxygen Medical Diagnostic Lab's NPI number?
- Oxygen Medical Diagnostic Lab's National Provider Identifier (NPI) is 1104763895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oxygen Medical Diagnostic Lab?
- Oxygen Medical Diagnostic Lab is classified in the NPPES registry as Clinical Laboratory Director (Non-physician) (Technologists, Technicians & Other Technical Service Providers).
- Where is Oxygen Medical Diagnostic Lab located?
- Oxygen Medical Diagnostic Lab's practice location on file with NPPES is 8300 Broadway Ste D2, Merrillville, IN 46410-8603.
- What is Oxygen Medical Diagnostic Lab's phone number?
- The practice phone number listed in the NPPES registry for Oxygen Medical Diagnostic Lab is (219) 306-0674.
- Who is the authorized official for Oxygen Medical Diagnostic Lab?
- The authorized official listed on Oxygen Medical Diagnostic Lab's NPPES record is Regina Etim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oxygen Medical Diagnostic Lab's NPI active?
- Yes — Oxygen Medical Diagnostic Lab's NPI (1104763895) is active in the NPPES registry as of the last update on 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.