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OPTIMUM DIAGNOSTIC LABORATORY LLC
NPI 1245082536
Nurse Practitioner - Family in Savannah, GA

Active since April 02, 2024CLIA 11D2303149 · Waiver
785 H KING GEORGE BOULEVARD SUITE D 1136, SAVANNAH, GA 31419(800) 588-3410 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Optimum Diagnostic Laboratory Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMUM DIAGNOSTIC LABORATORY LLC (NPI 1245082536) is a healthcare organization registered as a family in Savannah, Georgia and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Eleanor Quarterman, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1245082536
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOPTIMUM DIAGNOSTIC LABORATORY LLC
Location Address785 H KING GEORGE BOULEVARD SUITE D 1136Savannah, GA 31419-9551
Mailing Address785 H King George Boulevard Suite D 1136Savannah, GA 31419-9551 · (800) 588-3410
Phone(800) 588-3410
Organization SubpartNo
Authorized OfficialEleanor QuartermanOwner/ceo · (800) 588-3410
Enumeration DateApril 2, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1245082536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
785 H KING GEORGE BOULEVARD SUITE D 1136, Savannah, GA 31419
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2303149

Optimum Diagnostic Laboratory, LLC · Savannah, GA
Active · expires Apr 21, 2028
CLIA Number11D2303149
Laboratory TypeMobile Laboratory
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorEleanor Quarterman
Laboratory Phone(800) 588-3410
Laboratory LocationOptimum Diagnostic Laboratory, LLC10500 Abercorn Street, Unit A, Savannah, GA 31419
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimum Diagnostic Laboratory LLC's NPI number?

The NPI number for Optimum Diagnostic Laboratory LLC is 1245082536. It was assigned to this organization in the NPPES registry on April 2, 2024.

Where is Optimum Diagnostic Laboratory LLC located?

Optimum Diagnostic Laboratory LLC is located at 785 H King George Boulevard Suite D 1136, Savannah, GA 31419. The listed phone number is (800) 588-3410.

What is Optimum Diagnostic Laboratory LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Optimum Diagnostic Laboratory LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2303149) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optimum Diagnostic Laboratory LLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.