Active NPI
Omegaquant
- Clinical Medical Laboratory
- Sioux Falls, SD
National Provider Identifier
1306291901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- DL019088
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43D1105229 | Other | SD | CLIA |
Other names 1
- Omegabiostatus
National Provider Directory
National Provider DirectoryLocations
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.