Quentin Medical Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

33D0147515 Issued in NY

Legal business name

QUENTIN MEDICAL LAB

Practice address

140 58TH St
Ste 1E
Brooklyn, NY 11220-2562

Phone

(718) 492-2600

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael Prendimano

Title

Vice President of Operations

Phone

(718) 492-2600

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aliza Honarvar, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Brooklyn, NY
  • NPI 1457431751
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1003819418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 58TH ST",
            "address_2": "STE 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202562",
            "telephone_number": "718-492-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 58TH ST",
            "address_2": "STE 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202562",
            "telephone_number": "718-492-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUENTIN MEDICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "PRENDIMANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "718-492-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D0147515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N240153",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "NY3961",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000099801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10200466",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01794774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queens Orthoppedic Care PT PC
• Queens Pharmacy Corp
• Queens Pharmacy Corp.
• Queens Social Adult Day Care Inc
• Corina Quel
• Quentin Medical PC
• Quentin Medical, P.C
• Quentin Road Pharmacy Inc
• Quentin Smile Dental Services P.C.
• Soucianne Querette

• Clinical Medical Laboratory in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.