Omega Bioservices, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OMEGA BIOSERVICES, INC.

Practice address

1420 Oakbrook Dr
Norcross, GA 30093-2243

Phone

(404) 665-2166

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Althea McPhail, MD

Title

Lab Director

Phone

(404) 665-2166

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Omega Bioservices, Inc. Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1588311575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 OAKBROOK DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932243",
            "telephone_number": "404-665-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 OAKBROOK DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932243",
            "telephone_number": "404-665-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA BIOSERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "MCPHAIL",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "404-665-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "11D2120625",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.omegabioservices.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1420 Oakbrook Dr",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300932243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Omega Bioservices, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.