Bayside Diagnostics Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BAYSIDE DIAGNOSTICS LABORATORY

Practice address

14204 Bayside Ave
Flushing, NY 11354-2331

Phone

(718) 886-8500

Fax

(718) 886-2964

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Margarita Pestun

Title

Billing Manager

Phone

(718) 886-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194896936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14204 BAYSIDE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542331",
            "telephone_number": "718-886-8500",
            "fax_number": "718-886-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14204 BAYSIDE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542331",
            "telephone_number": "718-886-8500",
            "fax_number": "718-886-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DIAGNOSTICS LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PESTUN",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-886-8500"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayard L C Pharmacy Corp
• Zhanna Baybachayeva
• Steven Bayer, M.D.
• Sara Anabel Bayone, DPT
• Anna Victoria Andarian Bayron, PT
• Bayside Pain & Rehabilitation Medicine, P.C.
• Bayside RX LLC
• Bayside Scripts Corp.
• Daniel Bazarewski
• BC Pharmacy Inc

• Clinical Medical Laboratory in Flushing, NY
• Providers in Flushing, 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 Aug 22, 2020; 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.