Provider Demographics
NPI:1770340754
Name:OBAS LAB DIAGNOSTICS
Entity type:Organization
Organization Name:OBAS LAB DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE-ESTELLE
Authorized Official - Middle Name:TANIA
Authorized Official - Last Name:CELESTIN-OBAS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-395-5481
Mailing Address - Street 1:2820 NE 214TH ST STE 809
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1270
Mailing Address - Country:US
Mailing Address - Phone:754-600-1396
Mailing Address - Fax:754-778-6023
Practice Address - Street 1:2820 NE 214TH ST STE 809
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1270
Practice Address - Country:US
Practice Address - Phone:754-600-1396
Practice Address - Fax:754-778-6023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty