ODET DIAGNOSTIC LABORATORY LLC
NPI 1386214369
Clinical Medical Laboratory in Frederick, MD

Active since June 30, 2021
5906 FORUM SQ, FREDERICK, MD 21703(919) 924-2240 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odet Diagnostic Laboratory Llc NPPES

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

ODET DIAGNOSTIC LABORATORY LLC (NPI 1386214369) is a healthcare organization registered as a clinical medical laboratory in Frederick, Maryland and active in the NPI registry since June 2021. The organization lists Bridget Odetuyi, Owner, as its authorized official.

NPPES Registry Identity

NPI1386214369
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameODET DIAGNOSTIC LABORATORY LLC
Location Address5906 FORUM SQFrederick, MD 21703-2890
Mailing Address5906 Forum SqFrederick, MD 21703-2890 · (919) 924-2240
Organization SubpartNo
Authorized OfficialBridget OdetuyiOwner · (919) 924-2240
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
NPI 1386214369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5906 FORUM SQ, Frederick, MD 21703

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 Odet Diagnostic Laboratory LLC's NPI number?

The NPI number for Odet Diagnostic Laboratory LLC is 1386214369. It was assigned to this organization in the NPPES registry on June 30, 2021.

Where is Odet Diagnostic Laboratory LLC located?

Odet Diagnostic Laboratory LLC is located at 5906 Forum Sq, Frederick, MD 21703. The listed phone number is (919) 924-2240.

What is Odet Diagnostic Laboratory LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Odet Diagnostic Laboratory LLC was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.