EXCELSIOR INTEGRATED MEDICAL GROUP PLL, DBA EXCELSIOR LABORATORY
NPI 1174981880
Clinical Medical Laboratory in Flushing, NY

Active since February 09, 2016CLIA 33D2071090 · Waiver
4218 162ND ST FL 2, FLUSHING, NY 11358(718) 888-0750 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Excelsior Integrated Medical Group Pll, Dba Excelsior Laboratory NPPES

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

EXCELSIOR INTEGRATED MEDICAL GROUP PLL, DBA EXCELSIOR LABORATORY (NPI 1174981880) is a healthcare organization registered as a clinical medical laboratory in Flushing, New York and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Fei Ye, Lab Manager, as its authorized official.

NPPES Registry Identity

NPI1174981880
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEXCELSIOR INTEGRATED MEDICAL GROUP PLL, DBA EXCELSIOR LABORATORY
Location Address4218 162ND ST FL 2Flushing, NY 11358-4125
Mailing Address4218 162nd St Fl 2Flushing, NY 11358-4125 · (718) 888-0750
Organization SubpartNo
Authorized OfficialFei YeLab Manager · (718) 888-0750
Enumeration DateFebruary 9, 2016
NPI 1174981880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in NY · 33D2094053
Definition
(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.
4218 162ND ST FL 2, Flushing, NY 11358

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 Waiver 33D2071090

Excelsior Integrated Medical Group PLLC · Flushing, NY
Active · expires Jan 1, 2028
CLIA Number33D2071090
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorDr. George G. Hall
Laboratory Phone(718) 673-2318
Laboratory LocationExcelsior Integrated Medical Group PLLC42-35 Main Street, Unit #3c, Flushing, NY 11355
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Excelsior Integrated Medical Group Pll, Dba Excelsior Laboratory's NPI number?

The NPI number for Excelsior Integrated Medical Group Pll, Dba Excelsior Laboratory is 1174981880. It was assigned to this organization in the NPPES registry on February 9, 2016.

Where is Excelsior Integrated Medical Group Pll, Dba Excelsior Laboratory located?

Excelsior Integrated Medical Group Pll, Dba Excelsior Laboratory is located at 4218 162nd St Fl 2, Flushing, NY 11358. The listed phone number is (718) 888-0750.

What is Excelsior Integrated Medical Group Pll, Dba Excelsior Laboratory's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Excelsior Integrated Medical Group Pll, Dba Excelsior Laboratory hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2071090) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Excelsior Integrated Medical Group Pll, Dba Excelsior Laboratory was last updated on February 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.