Organization
OMEGA MDX-ID LLC
Active
Parent organization
OMEGA DIAGNOSTICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMEGA DIAGNOSTICS, LLC
Authorized official
VIVEK KHARE MD (MEDICAL DIRECTOR)
(318) 621-8820
Entity
Organization
Contact information
Practice address
5525 MOUNES ST, NEW ORLEANS, LA 70123-3215
(318) 621-8820
Mailing address
2915 MISSOURI AVE, SHREVEPORT, LA 71109-4327
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/05/2020
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