Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Odet Diagnostic Laboratory LLC

Organization Clinical Medical Laboratory · NPI 1386214369

Odet Diagnostic Laboratory LLC is a Clinical Medical Laboratory in Frederick, Maryland. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5906 Forum Sq
Frederick, MD 21703-2890
Phone: (919) 924-2240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1386214369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bridget Odetuyi — Owner · (919) 924-2240
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address5906 Forum Sq, Frederick, MD 21703-2890

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