Organization Active NPI

Omega MDX-Id LLC

  • Clinical Medical Laboratory
  • New Orleans, LA
National Provider Identifier
1215551379
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OMEGA MDX-ID LLC
Practice address
5525 Mounes St
New Orleans, LA 70123-3215
Phone
(318) 621-8820
NPI assigned
Jun 4, 2020
Organization subpart
Yes
Parent organization
OMEGA DIAGNOSTICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Vivek Khare, MD
Title
Medical Director
Phone
(318) 621-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5525 Mounes St
New Orleans, LA 70123-3215

Mailing address

2915 Missouri Ave
Shreveport, LA 71109-4327

National Provider Directory

National Provider Directory
Part of
Omega Diagnostics LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1215551379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 MISSOURI AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711094327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 MOUNES ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701233215",
            "telephone_number": "318-621-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA MDX-ID LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMEGA DIAGNOSTICS, LLC",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "KHARE",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "318-621-8820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.