Organization
OMEGA DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEK K. KHARE M.D. (CEO)
(318) 621-8820
Entity
Organization
Contact information
Practice address
5266 COMMERCE ST BLDG B, SAINT FRANCISVILLE, LA 70775-4409
(225) 635-2439
(225) 784-3488
Mailing address
PO BOX 3780, TUPELO, MS 38803-3780
(318) 841-9526
(318) 841-9557
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1779636
—
LA
Enumeration date
05/30/2006
Last updated
08/26/2022
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