Organization Active NPI

Atlantic Diagnostics LLC

  • Clinical Medical Laboratory
  • Culver City, CA
National Provider Identifier
1417355678
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33D2069816 Issued in NY
Legal business name
ATLANTIC DIAGNOSTICS LLC
Practice address
9415 Culver Blvd
Culver City, CA 90232-2616
Phone
(332) 208-8824
Fax
(332) 296-7972
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Nicolle Sapo
Title
Director
Phone
(678) 313-1027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33D2069816 NY Primary

Addresses

Primary practice location

9415 Culver Blvd
Culver City, CA 90232-2616

Mailing address

9415 Culver Blvd
Culver City, CA 90232-2616
Phone (332) 208-8824

Other practice location 1

9017 Jamaica Ave
Woodhaven, NY 11421-2104
Phone (332) 208-8824

Other identifiers 1

IdentifierTypeStateIssuer
33D2152435OtherNYCLIA ID

Other names 1

  • ATLANTIC DIAGNOSTICS LLC Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL sameday-testing.com Direct
CONNECT URL https://qdiagorchard.netsmartcloud.com/ Direct

National Provider Directory

National Provider Directory

Locations

9415 Culver Blvd
Culver City, CA 90232
Phone (323) 380-9126

5930 W Jefferson Blvd
Los Angeles, CA 90016
Phone (310) 730-6408

124 9th St
Ste 260
Brooklyn, NY 11215
Phone (332) 208-8824

Practitioners & affiliated clinicians

Practitioners 1

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": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1417355678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322616",
            "telephone_number": "332-208-8824",
            "fax_number": "332-296-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322616",
            "telephone_number": "332-208-8824",
            "fax_number": "332-296-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9017 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "NY",
            "postal_code": "114212104",
            "country_code": "US",
            "telephone_number": "332-208-8824",
            "fax_number": "332-262-5789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "SAPO",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-313-1027"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D2069816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "33D2152435",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sameday-testing.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "124 9th St Ste 260",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112153706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://qdiagorchard.netsmartcloud.com/",
            "affiliation": "N",
            "endpointDescription": "Orchard LIS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HL7",
            "address_1": "124 9th St Ste 260",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112153706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ATLANTIC DIAGNOSTICS LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ATLANTIC DIAGNOSTICS LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.