SOPHORA DIAGNOSTIC LAB INC
NPI 1669451563
Clinical Medical Laboratory in Jamaica, NY
About Sophora Diagnostic Lab Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHORA DIAGNOSTIC LAB INC (NPI 1669451563) is a healthcare organization registered as a clinical medical laboratory in Jamaica, New York and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Mikhail I Kantius, President Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 33D0691954
Sophora Diagnostic Laboratory · Jamaica, NYAreas of Expertise CMS Part B claims 2
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sophora Diagnostic Lab Inc's NPI number?
The NPI number for Sophora Diagnostic Lab Inc is 1669451563. It was assigned to this organization in the NPPES registry on January 10, 2006.
Where is Sophora Diagnostic Lab Inc located?
Sophora Diagnostic Lab Inc is located at 79-18 164 St, Jamaica, NY 11432. The listed phone number is (718) 969-2884.
What is Sophora Diagnostic Lab Inc's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Does Sophora Diagnostic Lab Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D0691954) 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 Sophora Diagnostic Lab Inc was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.