Supreme Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUPREME DIAGNOSTICS LLC

Practice address

4510 16TH Ave FL 3
Brooklyn, NY 11204-1101

Phone

(718) 964-3306

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Chaya Ostreicher

Title

President

Phone

(347) 401-3629

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yehudah Gruenstein

  • Medical Technologist
  • Staten Island, NY
  • NPI 1275339335
  NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1649015454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 16TH AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 16TH AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041101",
            "telephone_number": "718-964-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "OSTREICHER",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-401-3629"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Suponya, M.D.
• Support Transportation Inc.
• Supportive Home Care LLC
• Supportive Home Care LLC
• Supreme Care Physical Therapy and Occupational Therapy, PLLC
• Supreme DME Ny
• Supreme Eyecare Center Corp
• Supreme Optical Inc
• Supreme Patient Advocates
• Supreme RX Pharmacy Corp

• Clinical Medical Laboratory in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.