EXCELSIOR INTEGRATED MEDICAL GROUP PLL, DBA EXCELSIOR LABORATORY (NPI# 1174981880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174981880 |
| Entity Type | Organization |
| Organization Name | EXCELSIOR INTEGRATED MEDICAL GROUP PLL, DBA EXCELSIOR LABORATORY |
| Practice Address |
4218 162nd St Fl 2 Flushing NY 11358-4125 |
| Practice Telephone | 7188880750 |
| Mailing Telephone | 7188880750 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. FEI YE (LAB MANAGER) |
| Authorized Official Telephone | 7188880750 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 33D2094053 | NY | Laboratories |
| Street Address |
4218 162ND ST FL 2 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11358-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508485269 | Jeong Seo | Acupuncturist | 163-26 Northern Blvd, Flushing, Flushing, NY 11358 | 2020-04-13 |
| 1447886510 | Leemaster Corp | Durable Medical Equipment & Medical Supplies | 163-15 Northern Blvd., Unit 2, Flushing, NY 11358 | 2020-03-20 |
| 1912541517 | Myeong R. Choi Acupuncture P.C. | Acupuncturist | 164-10 Crocheron Avenue, Flushing, NY 11358 | 2019-11-06 |
| 1417512203 | Jaekwan Lee | Physical Therapist | 4362 162nd Street, 2nd Floor, Flushing, NY 11358 | 2019-05-07 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1720575756 | Function Integrate Physical Therapy, P.C. | Clinic/Center | 42-10 164th Street, Flushing, NY 11358 | 2018-04-16 |
| 1275055402 | Alexandra Sara Miller | Registered Nurse | 43-43 166th Street, Flushing, NY 11358 | 2017-07-10 |
| 1245750520 | Seongrak Kang | Physical Therapist | 42-12 164th St 1fl, Flushing, NY 11358 | 2017-06-27 |
| 1306366851 | Margaret O'neill | Registered Nurse | 17209 Crocheron Ave C4, Flushing, NY 11358 | 2017-06-26 |
| 1063957280 | Joel Choi | Specialist/Technologist | 3636 166th St, 2nd Fl, Flushing, NY 11358 | 2016-12-24 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1255571428 | New Path Diagnostics LLC | Clinical Medical Laboratory | 42-11 Parsons Blvd, Ground Floor, Flushing, NY 11355-2150 | 2009-03-02 |
| 1013169283 | Dreamwork Medical, Pllc | Clinical Medical Laboratory | 14241 41st Ave Ste P10, Flushing, NY 11355-2451 | 2008-10-18 |
| 1215106034 | Mediserv Inc | Clinical Medical Laboratory | 125 S Cherry St, Suite C, Flushing, MI 48433-2018 | 2008-02-26 |
| 1487621892 | Pharma Care Inc | Clinical Medical Laboratory | 209 S Cherry St, Flushing, MI 48433 | 2006-03-03 |
| 1932562212 | Pathgenix Diagnostics, LLC | Clinical Medical Laboratory | 3370 Prince St, Ca21, Flushing, NY 11354-2745 | 2016-04-03 |
| 1205999067 | Oral Pathology Laboratory, Inc. | Clinical Medical Laboratory | 5631 141st St, Flushing, NY 11355-5042 | 2006-12-19 |
| 1194896936 | Bayside Diagnostics Laboratory | Clinical Medical Laboratory | 14204 Bayside Ave, Flushing, NY 11354-2331 | 2006-11-13 |
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| 1346855483 | Rockefeller Fertility Laboratory Inc. | Clinical Medical Laboratory | 7 W 51st St Fl 5, New York, NY 10019-6905 | 2020-09-15 |
| 1609491216 | Amedix | Clinical Medical Laboratory | 6103 Strickland Ave Ste D, Brooklyn, NY 11234-6408 | 2020-06-09 |
| 1265060289 | Biotia, Inc. | Clinical Medical Laboratory | 140 58th St., Building A Suite 8j, Brooklyn, NY 11220-1122 | 2020-03-27 |
| 1285285148 | Anderson Diagnostics, Inc | Clinical Medical Laboratory | 425 N Broadway Unit 634, Jericho, NY 11753-5032 | 2019-09-23 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1043869068 | Champlain Toxicology Lab, LLC | Clinical Medical Laboratory | 32 Veterans Ln Ste 2, Plattsburgh, NY 12901-1217 | 2019-09-11 |
| 1427604453 | Quater Diagnostic Labs LLC | Clinical Medical Laboratory | 2821 Wehrle Dr Ste 9, Williamsville, NY 14221-7386 | 2019-08-15 |
| 1104398759 | Alliance Diagnostic Laboratory Corp | Clinical Medical Laboratory | 215 Thompson St Ste 125, New York, NY 10012-1360 | 2018-12-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.