UNIVERSAL DIAGNOSTIC LABORATORY, INC. (NPI# 1104996248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104996248 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL DIAGNOSTIC LABORATORY, INC. |
| Practice Address |
1414 Newkirk Ave Brooklyn NY 11226-6522 |
| Mailing Address |
12056 Mount Vernon Ave Suite 358 Grand Terrace CA 92313-5116 |
| Practice Telephone | 7188594777 |
| Mailing Telephone | 8664555700 |
| Mailing Fax Number | 9098243243 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MR. DAMO BALIGO (CONTROLLER) |
| Authorized Official Telephone | 7187816560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | NY | Laboratories |
| Street Address |
1414 NEWKIRK AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11226-6522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332714 | Universal Diagnostic Laboratories, Inc. | Clinical Medical Laboratory | 1414 Newkirk Ave, Brooklyn, NY 11226-6522 | 2005-08-09 |
| 1811523186 | Charlene Grant | Nurse Practitioner | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2020-03-19 |
| 1780216432 | Jeffrey Massaro | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2020-02-11 |
| 1245892256 | Tetyana Gorodetskaya | Physical Therapy Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2019-07-01 |
| 1376103895 | Molly Shotts | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2019-06-17 |
| 1851950471 | Lauren Danielle Buchwald | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2019-06-07 |
| 1508375718 | Olfat Khader Doleh | Nurse Practitioner | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2017-09-20 |
| 1457804353 | Katherine Migliore | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2016-07-27 |
| 1093179285 | David Mandil | Podiatrist | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2016-04-13 |
| 1033531504 | Lauren Elizabeth Roop | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2014-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1528691698 | Lu Ding | Social Worker | 2417 Albemarle Road, Unit 10d, Brooklyn, NY 11226 | 2020-02-18 |
| 1073089348 | Tiina Treasure | Social Worker | 2414 Church Ave, Brooklyn, NY 11226 | 2018-10-15 |
| 1508344490 | Natasha Samantha Hescott | Dietitian, Registered | 261 Lenox Rd Apt 6a, Brooklyn, NY 11226 | 2018-08-01 |
| 1265921977 | Janice Tom-george | Social Worker | 1818 Newkirk Ave Apt 4m, Brooklyn, NY 11226 | 2018-05-08 |
| 1336641299 | Millennia Ruth Lytle | Nutritionist | 135 Clarkson Ave, F8, Brooklyn, NY 11226 | 2018-03-06 |
| 1619495991 | Cassandra Wong | Physician Assistant | 163 Veronica Pl Apt 1r, Brooklyn, NY 11226 | 2017-09-06 |
| 1164940128 | Nz Pharmacy Inc | Pharmacy | 1296 Nostrand Ave, Brooklyn, NY 11226 | 2017-08-30 |
| 1497282412 | Shella St Ima | Licensed Practical Nurse | 45 E 25th St Fl 1, Brooklyn, NY 11226 | 2017-05-22 |
| 1174068209 | Tracey-ann Treadwell | Registered Nurse | 448 East 26th St., Apt 8, Brooklyn, NY 11226 | 2016-12-28 |
| Find all providers in zip 11226 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988095 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 4510 16th Ave, Brooklyn, NY 11204-1101 | 2020-09-29 |
| 1609491216 | Amedix | Clinical Medical Laboratory | 6103 Strickland Ave Ste D, Brooklyn, NY 11234-6408 | 2020-06-09 |
| 1265060289 | Biotia, Inc. | Clinical Medical Laboratory | 140 58th St., Building A Suite 8j, Brooklyn, NY 11220-1122 | 2020-03-27 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1699279570 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 153 Wamplers Lake Rd, Brooklyn, MI 49230-9585 | 2018-03-23 |
| 1467805952 | Diagnostics In Totality Inc | Clinical Medical Laboratory | 816 45th St, Brooklyn, NY 11220-1611 | 2016-07-20 |
| 1932589041 | L&m Lab Corp | Clinical Medical Laboratory | 2960 Ocean Ave Fl 5, Brooklyn, NY 11235-3202 | 2015-06-03 |
| 1245628163 | Park Vascular LLC | Clinical Medical Laboratory | 990 E 23rd St, Brooklyn, NY 11210-3622 | 2014-12-30 |
| 1417355678 | Atlantic Diagnostics LLC | Clinical Medical Laboratory | 1642 W 9th St, Brooklyn, NY 11223-1247 | 2014-12-19 |
| 1588093165 | Shiel Holdings LLC | Clinical Medical Laboratory | 63 Flushing Avenue, Unit 336, 2nd Floor, Brooklyn, NY 11205-1083 | 2013-11-05 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.