Organization Active NPI

Neurodiagnostics, Inc.

  • Clinical Medical Laboratory
  • Rockville, MD
National Provider Identifier
1851937981
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEURODIAGNOSTICS, INC.
Doing business as
Synaps Dx
Practice address
12441 Parklawn Dr Ste 2a
Rockville, MD 20852-2180
Phone
(301) 294-7026
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Nickolay Kukekov
Title
President
Phone
(646) 232-8947

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0500X
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0105X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12441 Parklawn Dr Ste 2a
Rockville, MD 20852-2180

Mailing address

12441 Parklawn Dr Ste 2a
Rockville, MD 20852-2180
Phone (301) 294-7026

Other identifiers 1

IdentifierTypeStateIssuer
21D2130277OtherFEDERAL CLIA NUMBER

Other names 1

  • Synaps Dx Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210412000734 DC Part B Supplier - Independent Clinical Laboratory 5395167704 Practice locations: Rockville, MD

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
21D2130277Neurodiagnostics, Inc, Dba Synaps DX12441 Parklawn Drive Suite 2a, Rockville, MD 20852ComplianceDec 4, 2027

National Provider Directory

National Provider Directory

Locations

9601 Medical Center Dr
Ste 3
Rockville, MD 20850

12441 Parklawn Dr
Ste 2A
Rockville, MD 20852
Phone (212) 251-3345

12358 Parklawn Dr
Ste 230
Rockville, MD 20852
Phone (212) 251-3345

9601 Medical Center Dr
Bldg 3
Rockville, MD 20850

9601 Medical Center Dr
Bldg 3RD
Rockville, MD 20850
Phone (301) 294-7026

1202 E Sonterra Blvd
Ste 614
San Antonio, TX 78258
Phone (210) 654-4066

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1851937981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12441 PARKLAWN DR STE 2A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522180",
            "telephone_number": "301-294-7026",
            "fax_number": "301-576-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12441 PARKLAWN DR STE 2A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522180",
            "telephone_number": "301-294-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "KUKEKOV",
        "authorized_official_first_name": "NICKOLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-232-8947"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL CLIA NUMBER",
            "identifier": "21D2130277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synaps Dx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.