Provider Demographics
NPI:1407069602
Name:OMEDICS, LLC
Entity Type:Organization
Organization Name:OMEDICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OSITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ONYEKWERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-237-0025
Mailing Address - Street 1:1129 CHRISTINE AVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-4657
Mailing Address - Country:US
Mailing Address - Phone:256-237-0025
Mailing Address - Fax:256-237-4795
Practice Address - Street 1:1129 CHRISTINE AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4657
Practice Address - Country:US
Practice Address - Phone:256-237-0025
Practice Address - Fax:256-237-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00019196246X00000X, 246XC2903X, 246XS1301X, 246ZE0500X, 2472E0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Multi-Specialty
Not Answered246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Multi-Specialty
Not Answered246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
Not Answered246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Multi-Specialty
Not Answered2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Multi-Specialty