SOPHORA DIAGNOSTIC LAB INC
NPI 1669451563
Clinical Medical Laboratory in Jamaica, NY

Active since January 10, 2006CLIA 33D0691954 · Certificate of Compliance
79-18 164 ST, JAMAICA, NY 11432(718) 969-2884(718) 969-2576 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1669451563
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSOPHORA DIAGNOSTIC LAB INC
Location Address79-18 164 STJamaica, NY 11432
Mailing AddressPo Box 740048Rego Park, NY 11374
Fax(718) 969-2576
Organization SubpartNo
Authorized OfficialMikhail I KantiusPresident Owner · (718) 969-2884
Enumeration DateJanuary 10, 2006
Last NPPES UpdateAugust 22, 2007
NPI 1669451563 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.
79-18 164 ST, Jamaica, NY 11432

Other Identifiers 1

Medicare PIN00236NY

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, NY
Active · expires Mar 26, 2027
CLIA Number33D0691954
Laboratory TypeIndependent
Certificate Effective DateAugust 28, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Mikhail I. Kantius
Laboratory Phone(718) 969-2884
Laboratory LocationSophora Diagnostic Laboratory79-18 164th Street, Jamaica, NY 11432
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.

Areas 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,549 services1,470 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
1,395 services756 patients

Other Providers at the Same Location NPPES

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

Dermatology (Dermatopathology)
79-18 164 ST
JAMAICA, NY 11432

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.