NPI Code Details Logo

NPI 1972422327

NPI 1972422327 : OMNIA DX INC : BURBANK, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1972422327
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OMNIA DX INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/10/2026
-----------------------------------------------------
    Last Update Date     |    07/10/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3014 N HOLLYWOOD WAY 
-----------------------------------------------------
    City                 |    BURBANK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91505-1026
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-934-8088
-----------------------------------------------------
    Fax                  |    818-934-8808
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3014 N HOLLYWOOD WAY 
-----------------------------------------------------
    City                 |    BURBANK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91505-1026
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     LIANA  AGHAJANYAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    424-610-7777
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    291U00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Medical Laboratory
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.