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

Sophora Diagnostic Lab Inc

Organization Clinical Medical Laboratory · NPI 1669451563

Sophora Diagnostic Lab Inc is a Clinical Medical Laboratory in Jamaica, New York. Registered with an NPI since 2006.

In the registry since
2006
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

79-18 164 St
Jamaica, NY 11432
Phone: (718) 969-2884
Fax: (718) 969-2576
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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 number1669451563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikhail Kantius — President Owner · (718) 969-2884
NPI enumeratedJanuary 10, 2006
Last updated in NPPESAugust 22, 2007
Mailing addressPo Box 740048, Rego Park, NY 11374

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