Omniseq, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

33D2098748 Issued in NY

Legal business name

OMNISEQ, INC.

Practice address

700 Ellicott St
Buffalo, NY 14203-1102

Phone

(716) 898-8591

Fax

(716) 898-8602

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Kimberly T Williams

Title

Vice President

Phone

(336) 436-5402

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Roswell Park Cancer Institute

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1548315401

  Member Of

  NPD member
• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Cromwell, CT
  • NPI 1700517984

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1184098063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031102",
            "telephone_number": "716-898-8661",
            "fax_number": "716-898-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031102",
            "telephone_number": "716-898-8591",
            "fax_number": "716-898-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNISEQ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-436-5402"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D2098748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D2098748",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie Lim Olympia, MD
• Sedaya Olympio
• Eman Omar
• Yasin Omar, PHARMD
• Mulham Ombada
• Emmanuel A Omoba, MD
• Mojola Omole, MD
• Theodore C Ondracek, MD
• Kenan Onel, MD, PHD
• Tracey Onuffer, LMSW

• Clinical Medical Laboratory in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.