Organization Active NPI

Vali Medical, LLC

  • Physiological Laboratory
  • Brooklyn, NY
National Provider Identifier
1821737917
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
VALI MEDICAL, LLC
Practice address
175 Pearl St Ste 339
Brooklyn, NY 11201-7508
Phone
(929) 432-0911
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Mr. Richard Kendrick
Title
Ceo
Phone
(929) 432-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

175 Pearl St Ste 339
Brooklyn, NY 11201-7508

Mailing address

175 Pearl St Ste 339
Brooklyn, NY 11201-7508
Phone (929) 432-0911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220613000310 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163853540 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

231 Willits Aly
Birmingham, MI 48009
Phone (734) 392-8254

175 Pearl St
Ste 339
Brooklyn, NY 11201
Phone (929) 432-0911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1821737917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PEARL ST STE 339",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017508",
            "telephone_number": "929-432-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PEARL ST STE 339",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017508",
            "telephone_number": "929-432-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALI MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "929-432-0911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "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 May 27, 2022; 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.