MODERN DIAGNOSTIC LABORATORY, INC
NPI 1720084551
Clinical Medical Laboratory in Brooklyn, NY

Active since June 27, 2005
1412 BAY RIDGE AVE, BROOKLYN, NY 11219(718) 837-5222(718) 259-0088 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Diagnostic Laboratory, Inc NPPES

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

MODERN DIAGNOSTIC LABORATORY, INC (NPI 1720084551) is a healthcare organization registered as a clinical medical laboratory in Brooklyn, New York and active in the NPI registry since June 2005. The organization lists Aron Tessler, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1720084551
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMODERN DIAGNOSTIC LABORATORY, INC
Location Address1412 BAY RIDGE AVEBrooklyn, NY 11219-6231
Mailing Address1412 Bay Ridge AveBrooklyn, NY 11219-6231 · (718) 837-5222 · Fax (718) 259-0088
Fax(718) 259-0088
Organization SubpartNo
Authorized OfficialAron TesslerTreasurer · (718) 837-5222
Enumeration DateJune 27, 2005
Last NPPES UpdateApril 20, 2008
NPI 1720084551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in NY · PFI: 3848
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.
1412 BAY RIDGE AVE, Brooklyn, NY 11219

Other Identifiers 4

Medicaid0823708NJ
Medicaid01064002NY
OtherL062010NY · Empire Bc/bs
Medicare ID-Type UnspecifiedL062010NY

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
1412 BAY RIDGE AVE
BROOKLYN, NY 11219

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 Modern Diagnostic Laboratory, Inc's NPI number?

The NPI number for Modern Diagnostic Laboratory, Inc is 1720084551. It was assigned to this organization in the NPPES registry on June 27, 2005.

Where is Modern Diagnostic Laboratory, Inc located?

Modern Diagnostic Laboratory, Inc is located at 1412 Bay Ridge Ave, Brooklyn, NY 11219. The listed phone number is (718) 837-5222.

What is Modern Diagnostic Laboratory, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Modern Diagnostic Laboratory, Inc was last updated on April 20, 2008. 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.