Organization Active NPI

Oneome Holdings LLC

  • Clinical Medical Laboratory
  • Minneapolis, MN
National Provider Identifier
1669836227
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
24D2109855 Issued in MN
Legal business name
ONEOME HOLDINGS LLC
Practice address
807 Broadway St NE Ste 100
Minneapolis, MN 55413-4401
Phone
(844) 663-6635
Fax
(833) 962-6158
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Patrick Alan McIntyre
Title
Ceo
Phone
(844) 663-6635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 24D2109855 MN Primary

Addresses

Primary practice location

807 Broadway St NE Ste 100
Minneapolis, MN 55413-4401

Mailing address

PO Box 856019
Minneapolis, MN 55485-6019
Phone (844) 663-6635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170727000321 MN Part B Supplier - Independent Clinical Laboratory 6406126275 Practice locations: Minneapolis, MN

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
24D2109855Oneome, LLC807 Broadway Street NE Suite 100, Minneapolis, MN 55413AccreditationOct 25, 2026

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

807 Broadway St NE
Ste 100
Minneapolis, MN 55413
Phone (844) 663-6635

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1669836227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856019",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554856019",
            "telephone_number": "844-663-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 BROADWAY ST NE STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554134401",
            "telephone_number": "844-663-6635",
            "fax_number": "833-962-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEOME HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-663-6635"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "24D2109855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.