Sophora Diagnostic Lab Inc
NPI 1669451563 · Clinical Medical Laboratory · Jamaica, NY
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sophora Diagnostic Lab Inc is a Clinical Medical Laboratory organization in Jamaica, NY (NPI 1669451563).
Provider details
- NPI number
- 1669451563
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Mikhail Kantius, President Owner(718) 969-2884
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
7,944 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 6,549 | $42 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 1,395 | $102 |
Typical Medicare-allowed amounts for these services range $42–$102 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-10
- Last updated
- 2007-08-22
Frequently asked questions
- What is Sophora Diagnostic Lab Inc's NPI number?
- Sophora Diagnostic Lab Inc's National Provider Identifier (NPI) is 1669451563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sophora Diagnostic Lab Inc?
- Sophora Diagnostic Lab Inc is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Sophora Diagnostic Lab Inc located?
- Sophora Diagnostic Lab Inc's practice location on file with NPPES is 79-18 164 St, Jamaica, NY 11432.
- What is Sophora Diagnostic Lab Inc's phone number?
- The practice phone number listed in the NPPES registry for Sophora Diagnostic Lab Inc is (718) 969-2884.
- Does Sophora Diagnostic Lab Inc accept Medicare?
- Sophora Diagnostic Lab Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sophora Diagnostic Lab Inc?
- The authorized official listed on Sophora Diagnostic Lab Inc's NPPES record is Mikhail Kantius, President Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sophora Diagnostic Lab Inc's NPI active?
- Yes — Sophora Diagnostic Lab Inc's NPI (1669451563) is active in the NPPES registry as of the last update on 2007-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.