Organization Active NPI

Omega Molecular Laboratories LLC

  • Clinical Medical Laboratory
  • Alpharetta, GA
National Provider Identifier
1124890934
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OMEGA MOLECULAR LABORATORIES LLC
Practice address
6445 Shiloh Rd Ste B
Alpharetta, GA 30005-8407
Phone
(470) 863-6020
Fax
(470) 200-2285
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Rodrick Frazier
Title
Ceo
Phone
(310) 686-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6445 Shiloh Rd Ste B
Alpharetta, GA 30005-8407

Mailing address

6445 Shiloh Rd Ste B
Alpharetta, GA 30005-8407
Phone (470) 863-6020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RFRAZIER@OMEGAMOL.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119002929 GA Part B Supplier - Independent Clinical Laboratory 9537511001 Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2293023Omega Molecular Laboratories, LLC6445 Shiloh Road, Suite B, Alpharetta, GA 30005AccreditationJul 30, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: rfrazier@omegamol.com

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1124890934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 SHILOH RD STE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058407",
            "telephone_number": "470-863-6020",
            "fax_number": "470-200-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 SHILOH RD STE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058407",
            "telephone_number": "470-863-6020",
            "fax_number": "470-200-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA MOLECULAR LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "RODRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-686-2134"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RFRAZIER@OMEGAMOL.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "address_1": "6445 Shiloh Rd Ste B",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300058407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.