EMERALD TESTING GROUP INC
NPI 1558078824
Clinical Medical Laboratory in Brooklyn, NY

Active since November 04, 2022CLIA 33D2269904 · Waiver
1805 GRAVESEND NECK RD, BROOKLYN, NY 11229(718) 743-2224 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emerald Testing Group Inc NPPES

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

EMERALD TESTING GROUP INC (NPI 1558078824) is a healthcare organization registered as a clinical medical laboratory in Brooklyn, New York and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists David Nisanov, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1558078824
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEMERALD TESTING GROUP INC
Location Address1805 GRAVESEND NECK RDBrooklyn, NY 11229
Mailing Address1805 Gravesend Neck RdBrooklyn, NY 11229 · (718) 743-2224
Organization SubpartNo
Authorized OfficialDavid NisanovManaging Director · (718) 743-2224
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 4, 2022
NPI 1558078824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.

1805 GRAVESEND NECK RD, Brooklyn, NY 11229

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 33D2269904

Emerald Testing Group Inc · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2269904
Laboratory TypeIndependent
Certificate Effective DateOctober 5, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Larry Tetsolti
Laboratory Phone(718) 743-2224
Laboratory LocationEmerald Testing Group Inc1805 Gravesend Neck Rd, Brooklyn, NY 11229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Non-emergency Medical Transport (VAN)
1805 GRAVESEND NECK RD
BROOKLYN, NY 11229
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1805 GRAVESEND NECK RD
BROOKLYN, NY 11229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558078824, enumerated as an "organization" on November 04, 2022.

The provider is located at 1805 GRAVESEND NECK RD BROOKLYN, NY 11229 and the phone number is (718) 743-2224.

Clinical Medical Laboratory with taxonomy code 291U00000X.