Active NPI
Medpath Diagnostics Inc
- Clinical Medical Laboratory
- Medford, NY
National Provider Identifier
1689588295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MEDPATH DIAGNOSTICS INC
- Practice address
- 1735 N Ocean Ave Ste a
Medford, NY 11763-2671 - Phone
- (631) 730-6400
- Fax
- (631) 730-6410
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Imrana Ali, MD
- Title
- Medical Director
- Phone
- (518) 951-6120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
1735 N Ocean Ave Ste a
Medford, NY 11763-2671
Mailing address
1735 N Ocean Ave Ste a
Medford, NY 11763-2671
Phone (631) 730-6400
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2326528 | Medpath Diagnostics, Inc | Compliance | Mar 26, 2027 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1689588295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 N OCEAN AVE STE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632671",
"telephone_number": "631-730-6400",
"fax_number": "631-730-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 N OCEAN AVE STE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632671",
"telephone_number": "631-730-6400",
"fax_number": "631-730-6410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDPATH DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "IMRANA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "518-951-6120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.