Organization · Type 2 NPI

Omni Elite Enterprises, LLC

Clinical Medical Laboratory · Raleigh, NC

NPI number 1467222810 Active

Practice location

4909 Waters Edge Dr Ste 218
Raleigh, NC 27606-2462

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1467222810
Entity type: Organization (Type 2)
Issued: Jan 8, 2024
Last updated: Jan 8, 2024
Status: Active
Subpart: Yes of Omni Elite Enterprises, LLC

Other names

Omni Elite Diagnostics · doing business as

Authorized official

Mr. Kerwin Pitttman
Chief Executive Officer
(919) 520-1194

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About NPI 1467222810

Omni Elite Enterprises, LLC's National Provider Identifier is 1467222810, issued on Jan 8, 2024. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Raleigh, NC. The record was last updated on Jan 8, 2024.