Odet Diagnostic Laboratory LLC
Odet Diagnostic Laboratory LLC is a healthcare organization registered as Clinical Medical Laboratory in Frederick, MD, holding Type 2 (organization) NPI 1386214369 since 2021. The authorized official on file is Bridget Odetuyi, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1386214369 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Odet Diagnostic Laboratory LLC |
| Practice address | 5906 FORUM SQ, Frederick, MD, 21703 |
| Phone | 9199242240 |
| Enumeration date | 2021-06-30 |
| Last updated in NPPES | 2021-06-30 |
Authorized official
| Name | Bridget Odetuyi |
|---|---|
| Title | Owner |
| Phone | 9199242240 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Copy-ready billing details
Provider: Odet Diagnostic Laboratory LLC NPI: 1386214369 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 5906 FORUM SQ, Frederick, MD, 21703
Verify this record
Cross-check NPI 1386214369 against the authoritative CMS record: view Odet Diagnostic Laboratory LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-06-30.