Nova Diagnostics Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NOVA DIAGNOSTICS INC

Practice address

2554 Cropsey Ave
1St Floor
Brooklyn, NY 11214-6606

Phone

(917) 584-9181

NPI assigned

Mar 30, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Igor Vladov

Title

Ceo

Phone

(917) 584-9181

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1003279910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 CROPSEY AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146606",
            "telephone_number": "917-584-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 CROPSEY AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146606",
            "telephone_number": "917-584-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "VLADOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-584-9181"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physiological Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.