OMNICARE LABORATORY LLC
NPI 1679437602
Clinical Medical Laboratory in Dallas, TX

Active since December 13, 2025CLIA 45D2336424 · Accreditation
17218 PRESTON RD STE 1050B-CD, DALLAS, TX 75252(281) 917-6270(713) 575-9067 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, Dec 13, 2025 (2 updates tracked since 2025).

About Omnicare Laboratory Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNICARE LABORATORY LLC (NPI 1679437602) is a healthcare organization registered as a clinical medical laboratory in Dallas, Texas and active in the NPI registry since December 2025. The organization holds an CLIA Accreditation certificate valid through January 1, 2028 and lists Prashanth Kumar Ganta, Owner, as its authorized official.

NPPES Registry Identity

NPI1679437602
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameOMNICARE LABORATORY LLC
Location Address17218 PRESTON RD STE 1050B-CDDallas, TX 75252-4018
Mailing Address17218 Preston Rd Ste 1050b-cdDallas, TX 75252-4018 · (281) 917-6270 · Fax (713) 575-9067
Fax(713) 575-9067
Organization SubpartNo
Authorized OfficialPrashanth Kumar GantaOwner · (281) 917-6270
Enumeration DateDecember 13, 2025
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1679437602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
17218 PRESTON RD STE 1050B-CD, Dallas, TX 75252

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2336424

Omnicare Laboratory LLC · Dallas, TX
Active · expires Jan 1, 2028
CLIA Number45D2336424
Laboratory TypeIndependent
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorNariman Gobara
Laboratory Phone(281) 917-6270
Laboratory LocationOmnicare Laboratory LLC17218 Preston Rd Suite 1050 B-C-D, Dallas, TX 75252
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omnicare Laboratory LLC's NPI number?

The NPI number for Omnicare Laboratory LLC is 1679437602. It was assigned to this organization in the NPPES registry on December 13, 2025.

Where is Omnicare Laboratory LLC located?

Omnicare Laboratory LLC is located at 17218 Preston Rd Ste 1050b-Cd, Dallas, TX 75252. The listed phone number is (281) 917-6270.

What is Omnicare Laboratory LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Omnicare Laboratory LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2336424) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Omnicare Laboratory LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.