Empire City Laboratories, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EMPIRE CITY LABORATORIES, INC

Practice address

229 49TH St
Brooklyn, NY 11220-1708

Phone

(718) 788-3840

Fax

(347) 227-1423

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Michael Nisanov

Title

Director of Operations

Phone

(718) 788-3840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1053584482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201708",
            "telephone_number": "718-788-3840",
            "fax_number": "347-227-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201708",
            "telephone_number": "718-788-3840",
            "fax_number": "347-227-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE CITY LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "NISANOV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "718-788-3840"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empire Aco LLC
• Empire Annex
• Empire Care Medical PC
• Empire Chiropractic
• Empire Chiropractic Wellness PC
• Empire Dental Ny PC
• Empire Diagnostic Solutions, Inc.
• Empire DME Inc.
• Empire DME Inc.
• Empire Family Medicine

• 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 Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.