Organization
OMNICARE LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANTH KUMAR GANTA (OWNER)
(281) 917-6270
Entity
Organization
Contact information
Practice address
17218 PRESTON RD STE 1050B-CD, DALLAS, TX 75252-4018
(281) 917-6270
(713) 575-9067
Mailing address
17218 PRESTON RD STE 1050B-CD, DALLAS, TX 75252-4018
(281) 917-6270
(713) 575-9067
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/13/2025
Last updated
12/15/2025
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