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General NPI Number Information
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NPI Number | 1023472891
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Entity Type | Organization
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Legal Business Name | OMNIHEALTH DIAGNOSTICS LLC
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1840 N GREENVILLE AVE STE 176
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City | RICHARDSON
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State | TX
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Zip | 75081-1301
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Country | US
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Telephone | 512-701-8202
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Fax | 972-887-3443
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Provider Business Mailing Address
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Address Line | 3005 S LAMAR BLVD STE 109D
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City | AUSTIN
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State | TX
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Zip | 78704-4785
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Country | US
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Telephone | 512-701-8202
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADAM HOUTMAN
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Credential |
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Telephone | 512-701-8202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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