Active NPI
Neurodiagnostics, Inc.
- Clinical Medical Laboratory
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | |||
| Clinical Pathology/Laboratory Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21D2130277 | Other | FEDERAL CLIA NUMBER |
Other names 1
- Synaps Dx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210412000734 | DC | Part B Supplier - Independent Clinical Laboratory | 5395167704 | Practice locations: Rockville, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2130277 | Neurodiagnostics, Inc, Dba Synaps DX | Compliance | Dec 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.