Organization Active NPI

Omega Diagnostics, LLC

  • Clinical Medical Laboratory
  • Saint Francisville, LA
National Provider Identifier
1598712879
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OMEGA DIAGNOSTICS, LLC
Practice address
5266 Commerce St BLDG B
Saint Francisville, LA 70775-4409
Phone
(225) 635-2439
Fax
(225) 784-3488
NPI assigned
May 30, 2006
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Vivek K. Khare, M.D.NPI 1598753915
Title
Ceo
Phone
(318) 621-8820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

5266 Commerce St BLDG B
Saint Francisville, LA 70775-4409

Mailing address

PO Box 3780
Tupelo, MS 38803-3780
Phone (318) 841-9526

Other practice location 1

5701 Crawford St Ste E&h
New Orleans, LA 70123-5500
Phone (504) 729-1774

Other practice location 2

901 James Ave
Farmerville, LA 71241-2234
Phone (318) 368-7059

Other practice location 3

5525 Mounes St
New Orleans, LA 70123-3215
Phone (504) 729-1764

Other identifiers 1

IdentifierTypeStateIssuer
1779636MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050708000198 LA Part B Supplier - Independent Clinical Laboratory 3274576533 Practice locations: Farmerville, LA

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
19D1067775Omega Diagnostics LLC at Union General Hospital901 James Avenue, Farmerville, LA 71241AccreditationJan 1, 2028
19D1069209Omega Diagnostics LLC901 James Avenue, Farmerville, LA 71241Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory

Locations

5701 Crawford St
Ste E
New Orleans, LA 70123
Phone (504) 729-6179

5701 Crawford St
Ste Eh
New Orleans, LA 70123
Phone (504) 729-1774

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1598712879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3780",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033780",
            "telephone_number": "318-841-9526",
            "fax_number": "318-841-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 COMMERCE ST BLDG B",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707754409",
            "telephone_number": "225-635-2439",
            "fax_number": "225-784-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Crawford St Ste E&h",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701235500",
            "country_code": "US",
            "telephone_number": "504-729-1774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 James Ave",
            "address_purpose": "LOCATION",
            "city": "Farmerville",
            "state": "LA",
            "postal_code": "712412234",
            "country_code": "US",
            "telephone_number": "318-368-7059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5525 Mounes St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701233215",
            "country_code": "US",
            "telephone_number": "504-729-1764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OMEGA DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "KHARE",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-621-8820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1779636",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francisville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.