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

Veedhata Om LLC

Organization Clinical Medical Laboratory · NPI 1720810328

Veedhata Om LLC is a Clinical Medical Laboratory in Lake City, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

404 NW Hall Of Fame Dr Ste D
Lake City, FL 32055-4833
Phone: (229) 262-7777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1720810328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachana Patel — Ceo · (917) 272-3468
Other names Prime Diagnostics
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address3386 Greystone Way, Valdosta, GA 31605-1096

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