Organization Active NPI

Omegaquant

  • Clinical Medical Laboratory
  • Sioux Falls, SD
National Provider Identifier
1306291901
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
DL019088 Issued in SD
Legal business name
OMEGAQUANT
Practice address
5009 W 12TH St
Suite 8
Sioux Falls, SD 57106-3988
Phone
(605) 271-6917
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. William Stephen Harris, PHD
Title
President
Phone
(605) 271-6917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X DL019088 SD Primary

Addresses

Primary practice location

5009 W 12TH St
Suite 8
Sioux Falls, SD 57106-3988

Mailing address

5009 W 12TH St
Suite 8
Sioux Falls, SD 57106-3988
Phone (605) 271-6917

Other identifiers 1

IdentifierTypeStateIssuer
43D1105229OtherSDCLIA

Other names 1

  • Omegabiostatus Former legal business name

National Provider Directory

National Provider Directory

Locations

5009 W 12th St
Ste 8
Sioux Falls, SD 57106
Phone (605) 271-6917

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1306291901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 W 12TH ST",
            "address_2": "SUITE 8",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063988",
            "telephone_number": "605-271-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 W 12TH ST",
            "address_2": "SUITE 8",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063988",
            "telephone_number": "605-271-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGAQUANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-271-6917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SD",
            "license": "DL019088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "43D1105229",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omegabiostatus",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.