Organization
OM DIAGNOSTIC LABORATORIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUKAR SHARMA (CEO)
(508) 873-6257
Entity
Organization
Contact information
Practice address
128 CARNEGIE ROW STE 108, NORWOOD, MA 02062-5162
(508) 873-6257
Mailing address
128 CARNEGIE ROW STE 108, NORWOOD, MA 02062-5162
(508) 873-6257
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110178312A
—
MA
01
—
22D2227255
CLIA ID
—
Enumeration date
07/20/2021
Last updated
09/15/2025
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