SUPREME DIAGNOSTICS LLC
NPI 1649015454
Clinical Medical Laboratory in Brooklyn, NY

Active since June 25, 2024CLIA 33D2177308 · Certificate of Compliance
4510 16TH AVE FL 3, BROOKLYN, NY 11204(718) 964-3306 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2024, Jun 25, 2024 (2 updates tracked since 2024).

About Supreme Diagnostics Llc NPPES

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

SUPREME DIAGNOSTICS LLC (NPI 1649015454) is a healthcare organization registered as a clinical medical laboratory in Brooklyn, New York and active in the NPI registry since June 2024. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Chaya Ostreicher, President, as its authorized official.

NPPES Registry Identity

NPI1649015454
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSUPREME DIAGNOSTICS LLC
Location Address4510 16TH AVE FL 3Brooklyn, NY 11204-1101
Mailing Address4510 16th Ave Fl 3Brooklyn, NY 11204-1101
Organization SubpartNo
Authorized OfficialChaya OstreicherPresident · (347) 401-3629
Enumeration DateJune 25, 2024
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1649015454 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.
4510 16TH AVE FL 3, Brooklyn, NY 11204

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 33D2177308

Supreme Diagnostics · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2177308
Laboratory TypeIndependent
Certificate Effective DateJanuary 8, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorAyad Mudarris
Laboratory Phone(718) 964-3306
Laboratory LocationSupreme Diagnostics4510 16th Avenue, 3rd Floor, Brooklyn, NY 11204
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 2

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

Pharmacy (Community/Retail Pharmacy)
4510 16TH AVE FL 3
BROOKLYN, NY 11204
Pharmacist
4510 16TH AVE FL 3
BROOKLYN, NY 11204

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 Supreme Diagnostics LLC's NPI number?

The NPI number for Supreme Diagnostics LLC is 1649015454. It was assigned to this organization in the NPPES registry on June 25, 2024.

Where is Supreme Diagnostics LLC located?

Supreme Diagnostics LLC is located at 4510 16th Ave Fl 3, Brooklyn, NY 11204. The listed phone number is (718) 964-3306.

What is Supreme Diagnostics LLC's specialty?

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

Does Supreme Diagnostics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2177308) 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 Supreme Diagnostics LLC was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.