Provider Demographics
NPI:1851070833
Name:OMETRI, LLC
Entity Type:Organization
Organization Name:OMETRI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-563-2643
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:SOPER
Mailing Address - State:OK
Mailing Address - Zip Code:74759-0097
Mailing Address - Country:US
Mailing Address - Phone:972-672-8624
Mailing Address - Fax:
Practice Address - Street 1:2033 GATEWAY PL FL 5
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-3709
Practice Address - Country:US
Practice Address - Phone:888-563-2643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Single Specialty