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General NPI Number Information
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NPI Number | 1821966714
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Entity Type | Organization
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Legal Business Name | OMNIA DIAGNOSTIC LABORATORY LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 20950 NORMANDIE AVE STE J
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City | TORRANCE
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State | CA
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Zip | 90502-1617
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Country | US
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Telephone | 424-271-7484
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Fax |
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Provider Business Mailing Address
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Address Line | 20950 NORMANDIE AVE STE J
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City | TORRANCE
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State | CA
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Zip | 90502-1617
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Country | US
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Telephone | 310-483-4892
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROLA AHMAD NASSER
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Credential |
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Telephone | 310-483-4892
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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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