Organization Active NPI

Analytical Diagnostic Labs,Inc

  • Clinical Medical Laboratory
  • Brooklyn, NY
National Provider Identifier
1750445284
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
3804 Issued in NY
Legal business name
ANALYTICAL DIAGNOSTIC LABS,INC
Practice address
2115 Avenue X
Brooklyn, NY 11235-2910
Phone
(718) 646-6000
Fax
(718) 934-5852
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Mr. Gershon Sontag
Title
President
Phone
(718) 646-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 3804 NY Primary

Addresses

Primary practice location

2115 Avenue X
Brooklyn, NY 11235-2910

Mailing address

2115 Avenue X
Brooklyn, NY 11235-2910
Phone (718) 646-6000

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0146824Analytical Diagnostic Labs2115 Avenue X, Brooklyn, NY 11235ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2115 Avenue X
Brooklyn, NY 11235
Phone (718) 646-6000

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1750445284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352910",
            "telephone_number": "718-646-6000",
            "fax_number": "718-934-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352910",
            "telephone_number": "718-646-6000",
            "fax_number": "718-934-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANALYTICAL DIAGNOSTIC LABS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "SONTAG",
        "authorized_official_first_name": "GERSHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-646-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "3804",
            "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 Jan 23, 2013; 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.