Organization Active NPI

Geno-Path Diagnostic Labs, Inc

  • Clinical Medical Laboratory
  • Staten Island, NY
National Provider Identifier
1235477795
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
8707 Issued in NY
Legal business name
GENO-PATH DIAGNOSTIC LABS, INC
Practice address
211 Westwood Ave
Staten Island, NY 10314-5414
Phone
(631) 579-7158
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Dr. Zujin Li, MD
Title
Director
Phone
(631) 579-7158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 8707 NY Primary

Addresses

Primary practice location

211 Westwood Ave
Staten Island, NY 10314-5414

Mailing address

211 Westwood Ave
Staten Island, NY 10314-5414
Phone (631) 579-7158

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2047612Geno-Path Diagnostic Labs Inc211 Westwood Ave, Staten Island, NY 10314ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1235477795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WESTWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145414",
            "telephone_number": "631-579-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WESTWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145414",
            "telephone_number": "631-579-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENO-PATH DIAGNOSTIC LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ZUJIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-579-7158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "8707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.