Veedhata Om LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VEEDHATA OM LLC

Practice address

404 NW Hall of Fame Dr Ste D
Lake City, FL 32055-4833

Phone

(229) 262-7777

NPI assigned

Aug 14, 2024

Organization subpart

No

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

Authorized official

Name

Rachana Patel

Title

Ceo

Phone

(917) 272-3468

Specialties & licenses 1

Addresses

Other names 1

• PRIME DIAGNOSTICS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Veedhata Om LLC

  • Clinical Medical Laboratory
  • Valdosta, GA
  • NPI 1831851039

  9537558333

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Veedhata Om LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Veedhata Om LLC

  • Clinical Medical Laboratory
  • Valdosta, GA
  • NPI 1831851039
  NPD tax ID

Locations

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1720810328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 GREYSTONE WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051096",
            "telephone_number": "229-262-7777",
            "fax_number": "229-262-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR STE D",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "229-262-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEEDHATA OM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RACHANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-272-3468"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarinel Vargas
• Charles Varghese, M.D
• Kendall P Varney, AUDIOLOGIST
• Valerie Katiana Vazquez, MD
• Laura V Vazquez11
• Abimael Velez
• Jessica Velez, LMHC
• Vernon Montoya MD PA
• Veterans Affairs
• Veterans Health Administration

• Clinical Medical Laboratory in Lake City, FL
• Providers in Lake City, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.