Organization Active NPI

Laguardia Diagnostics Inc

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1275137648
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LAGUARDIA DIAGNOSTICS INC
Practice address
250 Avenue X FL 2
Brooklyn, NY 11223-5940
Phone
(347) 922-5970
NPI assigned
Nov 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Oleksandr Shevchenko
Title
Manager
Phone
(646) 204-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

250 Avenue X FL 2
Brooklyn, NY 11223-5940

Mailing address

10 Clinton St Apt 8R
Brooklyn, NY 11201-2709
Phone (347) 922-5970

National Provider Directory

National Provider Directory

Locations

7701 30th Ave
#1
East Elmhurst, NY 11370

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1275137648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CLINTON ST APT 8R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012709",
            "telephone_number": "347-922-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 AVENUE X FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235940",
            "telephone_number": "347-922-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUARDIA DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "SHEVCHENKO",
        "authorized_official_first_name": "OLEKSANDR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-204-4460"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.