Organization
THE OLISA FOUNDATION
Active
Other names
El-Paso Sub-Saharan Africa Union (ESAU) Chamber of Commerce, American Journal of Biological Defense, International Molecular Diagnostic and Research Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NZEDEGWU ROBERT OLISA III PHD, MPA, MS, MASCP (CEO)
(202) 855-3479
Entity
Organization
Contact information
Practice address
7362 REMCON CIR STE 644, EL PASO, TX 79912-1623
(915) 208-4431
Mailing address
3601 PICKETT RD UNIT 2121, FAIRFAX, VA 22031-8107
(915) 208-4431
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
177F00000X
Lodging Provider
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QR1100X
Research Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
M (ASCP) 3555
NM
331L00000X
Blood Bank
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
RM (NRCM) 55214696
NM
335G00000X
Medical Foods Supplier
NAFDAC A7469L
ZZ
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8725411
CLIA-CAP
—
01
—
9068479
CAP
—
Enumeration date
11/29/2011
Last updated
02/02/2025
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