Active NPI
Omega Diagnostics, LLC
- Clinical Medical Laboratory
- Saint Francisville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2022
- 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
- Vivek K. Khare, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1779636 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050708000198 | LA | Part B Supplier - Independent Clinical Laboratory | 3274576533 | Practice locations: Farmerville, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1067775 | Omega Diagnostics LLC at Union General Hospital | Accreditation | Jan 1, 2028 |
| 19D1069209 | Omega Diagnostics LLC | Certificate of waiver | May 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Medical Laboratory
- New Orleans, LA
- NPI 1215551379
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Shreveport, LA
- NPI 1598753915
-
- Anatomic Pathology & Clinical Pathology Physician
- Shreveport, LA
- NPI 1174511653
-
- Anatomic Pathology & Clinical Pathology Physician
- Shreveport, LA
- NPI 1770571184
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
- Ochsner Clinic LLC (Ochsner Health Center - St. Francisville North)
- Ochsner Clinic LLC (Ochsner Health Center - West Feliciana)
- Ochsner Clinic LLC (Ochsner Health Center - St. Francisville South)
- Leslie Olivier, LCSW
- Brandie Olsen
- Matthew King Paxton, LPC
- Shieda Rae Perkins
- Nicole Couvillon Pinson, LPC, LLC
- Jeanne Pipsair, PA-C
- Aaron Priddy
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.