NPIMap

Organization Active NPI

Star Diagnostic Services, Inc

  • Physiological Laboratory
  • Brooklyn, NY
National Provider Identifier
1306082599
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
STAR DIAGNOSTIC SERVICES, INC
Practice address
1959 82ND St
#3
Brooklyn, NY 11214-2305
Phone
(718) 909-0967
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Ms. Ella Petlyarskaya
Title
Owner
Phone
(347) 673-7427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1959 82ND St
#3
Brooklyn, NY 11214-2305

Mailing address

1959 82ND St
#3
Brooklyn, NY 11214-2305
Phone (718) 909-0967

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1306082599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 82ND ST",
            "address_2": "#3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142305",
            "telephone_number": "718-909-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 82ND ST",
            "address_2": "#3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142305",
            "telephone_number": "718-909-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "PETLYARSKAYA",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-673-7427",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "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 Dec 18, 2008; 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.