Organization Active NPI

Dart Medical Laboratory, Inc

  • Clinical Medical Laboratory
  • Brooklyn, NY
National Provider Identifier
1821110453
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33D1020120 Issued in NY
Legal business name
DART MEDICAL LABORATORY, INC
Practice address
140 58TH St, Building a
Unit 3L
Brooklyn, NY 11220
Phone
(718) 934-1918
Fax
(718) 934-2003
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Ms. Galina Golub
Title
Manager
Phone
(917) 538-8418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33D1020120 NY Primary

Addresses

Primary practice location

140 58TH St, Building a
Unit 3L
Brooklyn, NY 11220

Mailing address

140 58TH St, Building a
Unit 3L
Brooklyn, NY 11220
Phone (718) 934-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041113000170 NY Part B Supplier - Independent Clinical Laboratory 7214991892 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2625 E 14th St
Ste 220
Brooklyn, NY 11235
Phone (718) 934-1918

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1821110453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 58TH ST, BUILDING A",
            "address_2": "UNIT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-934-1918",
            "fax_number": "718-934-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 58TH ST, BUILDING A",
            "address_2": "UNIT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-934-1918",
            "fax_number": "718-934-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DART MEDICAL LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-538-8418",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D1020120",
            "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 Oct 25, 2021; 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.