O-K DIAGNOSTICS LLC (NPI# 1427586726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427586726 |
| Entity Type | Organization |
| Organization Name | O-K DIAGNOSTICS LLC |
| Practice Address |
4176 Victory Blvd Staten Island NY 10314-6739 |
| Practice Telephone | (718) 698-3030 |
| Practice Fax Number | 7184941095 |
| Mailing Telephone | 7186983030 |
| Mailing Fax Number | 7184941095 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | MRS. DARYA FEKLISTOVA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9179130240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
4176 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844317 | Icahn School of Medicine At Mount Sinai | Physiological Laboratory | 485 Merrick Rd, Rockville Centre, NY 11570-5436 | 2020-06-03 |
| 1144876483 | Mas Imaging Portable X-ray Inc | Physiological Laboratory | 90 Arrival Ave Ste 105, Ronkonkoma, NY 11779-7361 | 2019-08-13 |
| 1144798596 | Heart Smart Inc. | Physiological Laboratory | 1160 E Jericho Tpke Ste 204, Huntington, NY 11743-5405 | 2018-11-04 |
| 1093292229 | Empire Sleep Testing LLC | Physiological Laboratory | 2810 Sweet Home Rd, Amherst, NY 14228-1347 | 2018-07-20 |
| 1700389616 | Cardiac Monitoring Services, LLC | Physiological Laboratory | 232 West Main St, Mountor Falls, NY 14865 | 2018-03-16 |
| 1437673811 | Accu Home Testing LLC | Physiological Laboratory | 544 Park Ave Ste 635, Brooklyn, NY 11205-1600 | 2017-07-27 |
| 1578005500 | Rhythm Management Solutions,llc | Physiological Laboratory | 179 South St Ste 100, Oyster Bay, NY 11771-2239 | 2016-11-08 |
| 1508308693 | Imaging Consultants and Billing of Ny, LLC | Physiological Laboratory | 1249 E 68th St, Brooklyn, NY 11234-5721 | 2016-11-07 |
| 1003279910 | Nova Diagnostics Inc | Physiological Laboratory | 2554 Cropsey Ave, 1st Floor, Brooklyn, NY 11214-6606 | 2016-03-30 |
| 1235590985 | Geneva Healthcare, LLC | Physiological Laboratory | 3 Columbus Cir Fl 15, New York, NY 10019-8716 | 2016-03-09 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on O-K DIAGNOSTICS LLC.
| 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.