Immco Diagnostics, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

KUMAV1 Issued in NY

Legal business name

IMMCO DIAGNOSTICS, INC

Practice address

60 Pineview Dr
Buffalo, NY 14228-2120

Phone

(716) 691-0091

Fax

(716) 691-0466

NPI assigned

Feb 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Kumar, PH.D.

Title

President

Phone

(716) 691-0091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801860697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PINEVIEW DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282120",
            "telephone_number": "716-691-0091",
            "fax_number": "716-691-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PINEVIEW DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282120",
            "telephone_number": "716-691-0091",
            "fax_number": "716-691-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMCO DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-691-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "KUMAV1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illumination Psychology PLLC
• Jay Im
• Imaging Associates of Buffalo
• Hannan Imam, P.A.
• Jesse Michael Imes, PHARM. D
• John Michael Improta, M.D.
• Moeen Imran, D.O
• Inadvance Medicine Associates East
• Hailey Inamdar, M.S, CRC
• Arslan Inayat, MD

• Clinical Medical Laboratory in Buffalo, NY
• Providers in Buffalo, 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.