| NPI | 1306291901 |
|---|---|
| Former Legal Business Name | OMEGABIOSTATUS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM STEPHEN HARRIS President 605-271-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SD DL019088) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |