MEDI SCENE
NPI 1144402983
General Practice in Latham, NY
About Medi Scene NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDI SCENE (NPI 1144402983) is a healthcare organization registered as a general practice in Latham, New York and active in the NPI registry since December 2007. The organization holds a CLIA Microscopy certificate valid through July 22, 2027 and lists Everett Roy Forman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Other Names 1
Other Identifiers 6
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0709329
- Facility Type
- Physician Office
- Certificate Effective Date
- July 23, 2025
- Certificate Expiration Date
- July 22, 2027
- Laboratory Director
- EVERETT R. FORMAN MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Medi Scene in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144402983, enumerated as an "organization" on December 04, 2007.
The provider is located at 585 TROY SCHENECTADY RD LATHAM, NY 12110 and the phone number is (518) 785-6004.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
