Organization
OMNI WOMEN'S HEALTH MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD GROOMS M.D. (DIRECTOR)
(559) 495-3120
Entity
Organization
Contact information
Practice address
3812 N 1ST ST, FRESNO, CA 93726-4301
(559) 495-3120
(559) 495-3134
Mailing address
3812 N 1ST ST, FRESNO, CA 93726-4301
(559) 495-3120
(559) 495-3134
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LAB61460F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB61460F
—
CA
Enumeration date
06/01/2007
Last updated
01/16/2014
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