Omnihealth Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OMNIHEALTH DIAGNOSTICS LLC

Practice address

1840 N Greenville Ave Ste 176
Richardson, TX 75081-1301

Phone

(512) 701-8202

Fax

(972) 887-3443

NPI assigned

Apr 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adam Law

Title

Owner

Phone

(509) 842-8987

Specialties & licenses 1

Addresses

Other names 2

• LAKESIDE CLINICAL LABORATORY Doing business as
• Lakeside Clinical Laboratory, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1023472891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N GREENVILLE AVE STE 176",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811301",
            "telephone_number": "509-842-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N GREENVILLE AVE STE 176",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811301",
            "telephone_number": "512-701-8202",
            "fax_number": "972-887-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIHEALTH DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-842-8987"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESIDE CLINICAL LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Clinical Laboratory, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Richardson, TX
• Providers in Richardson, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.