Joli Diagnostic Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

49181421A170 Issued in NY

Legal business name

JOLI DIAGNOSTIC INC

Practice address

2451 Wehrle Dr
Williamsville, NY 14221-7141

Phone

(716) 639-0443

Fax

(716) 639-0471

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Amin Tjota, MD PHD

Title

Laboratory Director

Phone

(716) 639-0443

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780640490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217141",
            "telephone_number": "716-639-0443",
            "fax_number": "716-639-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217141",
            "telephone_number": "716-639-0443",
            "fax_number": "716-639-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLI DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TJOTA",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "716-639-0443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "49181421A170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT OF HEALTH",
            "identifier": "49181421A170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Johnson, RPH
• Stephanie Johnson
• Suzanne K Johnson, LCSW-R, MS
• Laurie Christine Johnston, LMSW
• Tracy Johnston, RN
• Jonathan C. Reynhout, M.D.P.C.
• Caroline Diana Jones, MD
• Chelsea B Jones, PA
• Katrina Jones, RN
• Kelly A Jones, ANP

• Clinical Medical Laboratory in Williamsville, NY
• Providers in Williamsville, 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 Aug 22, 2020; 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.