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

Omni Diagnostic Laboratory LLC

Organization Clinical Medical Laboratory · NPI 1124773304

Omni Diagnostic Laboratory LLC is a Clinical Medical Laboratory in Corona, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1888 W 6th St Ste H
Corona, CA 92882-2993
Phone: (714) 493-1224
Fax: (951) 547-4416
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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 number1124773304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahsan Baseer — Ceo · (714) 493-1224
NPI enumeratedFebruary 16, 2022
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022
Mailing address1888 W 6th St Ste H, Corona, CA 92882-2993

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