Healthcare Provider Details

I. General information

NPI: 1508790569
Provider Name (Legal Business Name): OMNIPATHOLOGY SOLUTIONS MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

968 S FAIR OAKS AVE
PASADENA CA
91105-2626
US

IV. Provider business mailing address

968 S FAIR OAKS AVE
PASADENA CA
91105-2626
US

V. Phone/Fax

Practice location:
  • Phone: 626-744-5339
  • Fax: 866-296-6833
Mailing address:
  • Phone: 626-744-5339
  • Fax: 866-296-6833

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: MOHAMMAD A. KAMAL
Title or Position: OWNER/CEO
Credential:
Phone: 626-744-5339