Active NPI
Laguardia Diagnostics Inc
- Specialist
- Brooklyn, NY
National Provider Identifier
1275137648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1679785505
-
- Pulmonary Disease Physician
- Brooklyn, NY
- NPI 1396788956
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.