Atlas Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ATLAS DIAGNOSTICS INC

Practice address

926 S Elmora Ave
Elizabeth, NJ 07202-3146

Phone

(718) 675-0081

Fax

(908) 469-0697

NPI assigned

Dec 3, 2021

Last updated

May 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariia Kutsak

Title

Owner

Phone

(718) 675-0081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1689332967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 S ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023146",
            "telephone_number": "908-469-0696",
            "fax_number": "908-469-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023146",
            "telephone_number": "718-675-0081",
            "fax_number": "908-469-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "KUTSAK",
        "authorized_official_first_name": "MARIIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-675-0081"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.