MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC
NPI 1083200174
Pathology - Clinical Pathology/Laboratory Medicine in Forest Hills, NY

Active since December 14, 2020CLIA 33D0933575 · Certificate of Compliance
11129 QUEENS BLVD, FOREST HILLS, NY 11375(718) 275-8900(718) 785-0430 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medex Diagnostic And Treatment Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC (NPI 1083200174) is a healthcare organization registered as a clinical pathology/laboratory medicine in Forest Hills, New York and active in the NPI registry since December 2020. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Oleg Aronov, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1083200174
Entity TypeOrganization
Primary Taxonomy207ZP0105X
Legal Business NameMEDEX DIAGNOSTIC AND TREATMENT CENTER LLC
Location Address11129 QUEENS BLVDForest Hills, NY 11375-5553
Mailing Address11129 Queens BlvdForest Hills, NY 11375-5553 · (718) 275-8900 · Fax (718) 785-0430
Fax(718) 785-0430
Organization SubpartNo
Authorized OfficialOleg AronovManaging Member · (718) 275-8900
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
NPI 1083200174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
11129 QUEENS BLVD, Forest Hills, NY 11375

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0933575

Medex Diagnostic And Treatment Center · Forest Hills, NY
Active · expires Mar 26, 2027
CLIA Number33D0933575
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 3, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Stanislav Grinberg
Laboratory Phone(718) 275-8900
Laboratory LocationMedex Diagnostic And Treatment Center111-29 Queens Blvd, Forest Hills, NY 11375
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Clinic/Center (Multi-Specialty)
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Clinic/Center (Ambulatory Surgical)
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Podiatrist (Foot & Ankle Surgery)
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Social Worker
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Occupational Therapy Assistant
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Clinic/Center
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Radiologic Technologist
11129 QUEENS BLVD
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medex Diagnostic And Treatment Center LLC's NPI number?

The NPI number for Medex Diagnostic And Treatment Center LLC is 1083200174. It was assigned to this organization in the NPPES registry on December 14, 2020.

Where is Medex Diagnostic And Treatment Center LLC located?

Medex Diagnostic And Treatment Center LLC is located at 11129 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 275-8900.

What is Medex Diagnostic And Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Does Medex Diagnostic And Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0933575) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medex Diagnostic And Treatment Center LLC was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.