Organization
NEURODIAGNOSTICS, INC.
Active
Organization
NEURODIAGNOSTICS, INC.
Active
Other names
Synaps Dx
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLAY KUKEKOV (PRESIDENT)
(646) 232-8947
Entity
Organization
Contact information
Practice address
12441 PARKLAWN DR STE 2A, ROCKVILLE, MD 20852-2180
(301) 294-7026
Mailing address
12441 PARKLAWN DR STE 2A, ROCKVILLE, MD 20852-2180
(301) 294-7026
(301) 576-8629
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D2130277
FEDERAL CLIA NUMBER
—
Enumeration date
11/25/2019
Last updated
06/16/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up