Main Street Diagnostic Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MAIN STREET DIAGNOSTIC INC

Practice address

6854 Main St
Flushing, NY 11367-1325

Phone

(646) 210-1000

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Ninel Davidov

Title

President

Phone

(646) 210-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1487968343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6854 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671325",
            "telephone_number": "646-210-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6854 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671325",
            "telephone_number": "646-210-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "DAVIDOV",
        "authorized_official_first_name": "NINEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-210-1000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Optical LLC
• Main Pharmacy Inc.
• Main Point RX LLC
• Main RX Inc.
• Main St Acupuncture PC
• Main Street Drugs Inc.
• Main Street Footcare, PLLC
• Main Street Medical Services, PLLC
• Main Street Medical, P.C. - Neurology
• Main Street Medical, P.C. Pulmonary

• Multi-Specialty Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.