| NPI | 1841942851 |
|---|---|
| Doing Business As | OM PREMIUM LLC |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MUJEEB President 945-245-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |