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RIDGEWOOD DIAGNOSTIC LABORATORY, LLC
NPI 1568839173
Clinical Medical Laboratory in Hackensack, NJ

Active since August 31, 2015CLIA 31D2109691 · Certificate of Compliance
126 STATE STREET, 2ND FLOOR, HACKENSACK, NJ 07601(973) 542-2343(201) 632-6548 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2018, Apr 12, 2018 (2 updates tracked since 2018).

About Ridgewood Diagnostic Laboratory, Llc NPPES

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

RIDGEWOOD DIAGNOSTIC LABORATORY, LLC (NPI 1568839173) is a healthcare organization registered as a clinical medical laboratory in Hackensack, New Jersey and active in the NPI registry since August 2015. The organization holds a CLIA Certificate of Compliance certificate valid through January 18, 2027 and lists Alexandr Zaitsev, President, as its authorized official.

NPPES Registry Identity

NPI1568839173
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameRIDGEWOOD DIAGNOSTIC LABORATORY, LLC
Location Address126 STATE STREET, 2ND FLOORHackensack, NJ 07601
Mailing Address126 State Street, 2nd FloorHackensack, NJ 07601 · (973) 542-2343 · Fax (201) 632-6548
Phone(973) 542-2343
Fax(201) 632-6548
Organization SubpartNo
Authorized OfficialAlexandr ZaitsevPresident · (862) 703-0506
Enumeration DateAugust 31, 2015
Last NPPES UpdateNovember 20, 20182 updates tracked since enumeration
✔ NPI 1568839173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in NJ · 31D2109691
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.
126 STATE STREET, Hackensack, NJ 07601
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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 31D2109691

Ridgewood Diagnostic Laboratory · Hackensack, NJ
Active · expires Jan 18, 2027
CLIA Number31D2109691
Laboratory TypeIndependent
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorAlfred O. Fayemi
Laboratory Phone(973) 542-2343
Laboratory LocationRidgewood Diagnostic Laboratory126 State St 2nd Floor, Hackensack, NJ 07601
CLIA data matches this NPI record on: Address 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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
81 services70 patients
Test for detecting genes associated with disease, genomic sequence, must include sequence analysis of entire mitochondrial genome 81460
This test detects specific genes linked to diseases by analyzing the entire mitochondrial genome. It's like scanning a book for certain words. The procedure involves mapping the genomic sequence, which is the order of genes in your DNA, to identify potential health risks.
42 services42 patients
Test for detecting genes associated with disease, whole mitochondrial genome 81465
A test for the whole mitochondrial genome identifies changes in the mitochondrial DNA that may cause health issues. It involves taking a small sample of blood or tissue. The DNA is then examined for any changes linked to potential diseases.
42 services42 patients
Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis 81249
Gene analysis for glucose-6-phosphate dehydrogenase (G6PD) involves studying your DNA to check for changes in the G6PD gene. This gene controls an enzyme that helps red blood cells function properly. Anomalies can cause health issues like anemia.
18 services18 patients
Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants 81291
Gene analysis for 5,10-methylenetetrahydrofolate reductase (MTHFR) common variants is a test that looks at your DNA to identify any changes in the MTHFR gene. These changes can affect how your body processes certain vitamins, which could impact your overall health.
18 services18 patients
Hla class i typing high resolution one locus 81380
HLA Class I Typing High Resolution One Locus is a detailed genetic test. It identifies specific proteins on your cells to help match organ or bone marrow donors and recipients. This ensures the body accepts the transplant.
18 services18 patients

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 Ridgewood Diagnostic Laboratory, LLC's NPI number?

The NPI number for Ridgewood Diagnostic Laboratory, LLC is 1568839173. It was assigned to this organization in the NPPES registry on August 31, 2015.

Where is Ridgewood Diagnostic Laboratory, LLC located?

Ridgewood Diagnostic Laboratory, LLC is located at 126 State Street 2nd Floor, Hackensack, NJ 07601. The listed phone number is (973) 542-2343.

What is Ridgewood Diagnostic Laboratory, LLC's specialty?

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

Does Ridgewood Diagnostic Laboratory, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D2109691) is associated with this NPI, valid through January 18, 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 Ridgewood Diagnostic Laboratory, LLC was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.