Active NPI
Om Diagnostic Laboratories Inc.
- Clinical Medical Laboratory
- Norwood, MA
National Provider Identifier
1053984807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- OM DIAGNOSTIC LABORATORIES INC.
- Practice address
- 128 Carnegie Row Ste 108
Norwood, MA 02062-5162 - Phone
- (508) 873-6257
- NPI assigned
- Jul 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madhukar Sharma
- Title
- Ceo
- Phone
- (508) 873-6257
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
128 Carnegie Row Ste 108
Norwood, MA 02062-5162
Mailing address
128 Carnegie Row Ste 108
Norwood, MA 02062-5162
Phone (508) 873-6257
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110178312A | Medicaid | MA | |
| 22D2227255 | Other | CLIA ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210826000489 | MA | Part B Supplier - Independent Clinical Laboratory | 3173928348 | Practice locations: Norwood, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2227255 | Om Diagnostic Laboratories, Inc | Accreditation | May 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
128 Carnegie Row
Ste 108
Norwood, MA 02062
Phone (508) 873-6257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1053984807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 CARNEGIE ROW STE 108",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020625162",
"telephone_number": "508-873-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 CARNEGIE ROW STE 108",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020625162",
"telephone_number": "508-873-6257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OM DIAGNOSTIC LABORATORIES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-20",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "MADHUKAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-873-6257"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110178312A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID",
"identifier": "22D2227255",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.