Organization Active NPI

Omnia Labs Inc

  • Clinical Medical Laboratory
  • Sun Valley, CA
National Provider Identifier
1467336131
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OMNIA LABS INC
Practice address
7630 Vineland Ave Ste 201
Sun Valley, CA 91352-4535
Phone
(818) 210-0079
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Harutyun Khudaverdyan
Title
Ceo
Phone
(878) 988-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7630 Vineland Ave Ste 201
Sun Valley, CA 91352-4535

Mailing address

7630 Vineland Ave Ste 201
Sun Valley, CA 91352-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002002579 CA Part B Supplier - Independent Clinical Laboratory 8628574241 Practice locations: Sun Valley, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2327181Omnia Labs Inc7630 Vineland Avd Ste 201, Sun Valley, CA 91352RegistrationJul 16, 2027

National Provider Directory

National Provider Directory

Locations

7630 Vineland Ave
Ste 201
Sun Valley, CA 91352
Phone (818) 210-0079

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1467336131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 VINELAND AVE STE 201",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 VINELAND AVE STE 201",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524535",
            "telephone_number": "818-210-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "KHUDAVERDYAN",
        "authorized_official_first_name": "HARUTYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "878-988-8008"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.