Healthcare Provider Details

I. General information

NPI: 1972422327
Provider Name (Legal Business Name): OMNIA DX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3014 N HOLLYWOOD WAY
BURBANK CA
91505-1026
US

IV. Provider business mailing address

3014 N HOLLYWOOD WAY
BURBANK CA
91505-1026
US

V. Phone/Fax

Practice location:
  • Phone: 818-934-8088
  • Fax: 818-934-8808
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LIANA AGHAJANYAN
Title or Position: CEO
Credential:
Phone: 424-610-7777