Organization Active NPI

Omnia Diagnostic Laboratory LLC

  • Clinical Medical Laboratory
  • Torrance, CA
National Provider Identifier
1821966714
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Nov 12, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20251208001631 CA Part B Supplier - Independent Clinical Laboratory 1153814124 Practice locations: Torrance, CA

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
05D2096883Omnia Diagnostic Laboratory, LLC20950 Normandie Avenue, Unit J, Torrance, CA 90502ComplianceDec 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.