Cross Island Diagnostic and Research Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

235564 Issued in NY

Legal business name

CROSS ISLAND DIAGNOSTIC AND RESEARCH LABORATORY INC

Practice address

3269 Hempstead Turnpike
Levittown, NY 11756-1175

Phone

(516) 270-7675

Fax

(516) 307-9510

NPI assigned

Nov 27, 2011

Organization subpart

No

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

Authorized official

Name

Debasis Adhikari, M.D.

Title

President

Phone

(516) 270-7675

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1164799763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 HEMPSTEAD TURNPIKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561932",
            "telephone_number": "516-270-7675",
            "fax_number": "516-307-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 HEMPSTEAD TURNPIKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561175",
            "telephone_number": "516-270-7675",
            "fax_number": "516-307-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Windsor Ave",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115011932",
            "country_code": "US",
            "telephone_number": "516-270-7675",
            "fax_number": "516-307-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSS ISLAND DIAGNOSTIC AND RESEARCH LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "ADHIKARI",
        "authorized_official_first_name": "DEBASIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-270-7675",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "235564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Levittown, NY
• Providers in Levittown, 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 Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.