Healthcare Provider Details

I. General information

NPI: 1407069602
Provider Name (Legal Business Name): OMEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1129 CHRISTINE AVE
ANNISTON AL
36207-4657
US

IV. Provider business mailing address

1129 CHRISTINE AVE
ANNISTON AL
36207-4657
US

V. Phone/Fax

Practice location:
  • Phone: 256-237-0025
  • Fax: 256-237-4795
Mailing address:
  • Phone: 256-237-0025
  • Fax: 256-237-4795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License Number00019196
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number00019196
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number00019196
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number00019196
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number00019196
License Number StateAL

VIII. Authorized Official

Name: DR. OSITA A ONYEKWERE
Title or Position: CEO
Credential: MD
Phone: 256-237-0025