Omega Diagnostic Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OMEGA DIAGNOSTIC LABORATORIES

Practice address

4701 FM 2920 Rd
Ste C1
Spring, TX 77388-3197

Phone

(470) 863-6020

Fax

(888) 453-1716

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Rodrick Frazier, MD

Title

Ceo

Phone

(470) 863-6020

Specialties & licenses 1

Addresses

Other names 1

• Omega Molecular Laboratories Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

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

Locations

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1376378083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 FM 2920 RD",
            "address_2": "STE C1",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883197",
            "telephone_number": "470-863-6020",
            "fax_number": "888-453-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 FM 2920 RD",
            "address_2": "STE C1",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883197",
            "telephone_number": "470-863-6020",
            "fax_number": "888-453-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA DIAGNOSTIC LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "RODRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-863-6020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Molecular Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esther Idunnu Olugbusi
• Latarvia Olukotun
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• Dianna Oyewumi Oluwadare, PT, DPT
• Alicia Omana
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• Osarobo George Omorose
• Christine Kemunto Ondieki
• One Senior at a Time LLC
• One Step Away Consulting LLC

• Clinical Medical Laboratory in Spring, TX
• Providers in Spring, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.