Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omega Diagnostic Inc

Organization Clinical Medical Laboratory · NPI 1710801220

Omega Diagnostic Inc is a Clinical Medical Laboratory in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5176 Santa Monica Blvd Ste 106
Los Angeles, CA 90029-2586
Phone: (213) 258-5965
Fax: (213) 258-5966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1710801220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rasambek Khatchiev — Ceo,Cfo · (213) 258-5965
NPI enumeratedAugust 6, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address5176 Santa Monica Blvd Ste 106, Los Angeles, CA 90029-2586

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