Organization Active NPI

Advanced Multi Diagnostic Services

  • Other Specialist/Technologist
  • Brooklyn, NY
National Provider Identifier
1437595246
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
ADVANCED MULTI DIAGNOSTIC SERVICES
Practice address
155 Avenue U
Suite B
Brooklyn, NY 11223-3606
Phone
(347) 492-3500
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Kristina Mirbabayeva
Title
President
Phone
(347) 492-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

155 Avenue U
Suite B
Brooklyn, NY 11223-3606

Mailing address

155 Avenue U
Suite B
Brooklyn, NY 11223-3606

National Provider Directory

National Provider Directory

Locations

39 W Front St
Ste B
Keyport, NJ 07735
Phone (718) 513-1077

155 Avenue U
#B
Brooklyn, NY 11223
Phone (718) 513-1077

155 Avenue U
Ste B
Brooklyn, NY 11223
Phone (347) 492-3500

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1437595246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 AVENUE U",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 AVENUE U",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233606",
            "telephone_number": "347-492-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MULTI DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "MIRBABAYEVA",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-492-3500"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "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 May 20, 2013; 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.