Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prophase Diagnostics Ny, Inc

Organization Clinical Medical Laboratory · NPI 1942873484

Prophase Diagnostics Ny, Inc is a Clinical Medical Laboratory in Garden City, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

711 Stewart Ave Ste 200
Garden City, NY 11530-4719
Phone: (516) 464-6121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1942873484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prophase Labs, Inc — Owner · (516) 464-6121
NPI enumeratedJuly 22, 2021
Last updated in NPPESNovember 16, 2023
Certification dateApril 11, 2023
Mailing address711 Stewart Ave Ste 200, Garden City, NY 11530-4734

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