Organization
OMEGA OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY DEANE ELLIS (DIRECTOR OF OPERATIONS)
(804) 527-5337
Entity
Organization
Contact information
Practice address
110 MEDICAL DR, SUITE 8, ELIZABETH CITY, NC 27909-3374
(252) 338-5183
Mailing address
110 MEDICAL DR, SUITE 8, ELIZABETH CITY, NC 27909-3374
(252) 338-5183
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1061647
NC
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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