OrganizationActive
Aim 4 Life Medical Diagnostics PC
NPI 1578744785 · Diagnostic Radiology Physician · Bayside, NY
Provider details
- NPI number
- 1578744785
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nodari Mikhelashvili, Doctor(718) 279-0020
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- Diagnostic Ultrasound Physician2085U0001X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6829 Springfield Blvd
Bayside, NY 11365
Phone: (718) 279-0020
Street-level locationGet directions
Mailing address
3820 208th St
Bayside, NY 11361-1929
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2007-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.