Active NPI
Omnia Diagnostic Laboratory LLC
- Clinical Medical Laboratory
- Torrance, CA
National Provider Identifier
1821966714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- OMNIA DIAGNOSTIC LABORATORY LLC
- Practice address
- 20950 Normandie Ave Ste J
Torrance, CA 90502-1617 - Phone
- (424) 271-7484
- NPI assigned
- Oct 23, 2025
- 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
- Rola Ahmad Nasser
- Title
- Ceo
- Phone
- (310) 483-4892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
20950 Normandie Ave Ste J
Torrance, CA 90502-1617
Mailing address
20950 Normandie Ave Ste J
Torrance, CA 90502-1617
Phone (310) 483-4892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251208001631 | CA | Part B Supplier - Independent Clinical Laboratory | 1153814124 | Practice locations: Torrance, CA |
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 |
|---|---|---|---|
| 05D2096883 | Omnia Diagnostic Laboratory, LLC | Compliance | Dec 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
20950 Normandie Ave
Ste J
Torrance, CA 90502
Phone (310) 483-4892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762905600000",
"number": "1821966714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20950 NORMANDIE AVE STE J",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021617",
"telephone_number": "310-483-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20950 NORMANDIE AVE STE J",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021617",
"telephone_number": "424-271-7484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNIA DIAGNOSTIC LABORATORY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-23",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A",
"authorized_official_last_name": "NASSER",
"authorized_official_first_name": "ROLA",
"authorized_official_middle_name": "AHMAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-483-4892"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.