| CLIA License | 22D0069726 |
| CAP | 3733701 |
| State of California | CDS800075 |
| State of Maryland | 548 |
| State of Massachusetts | 5879 |
| State of New York Department of Health | 4118 |
| State of Pennsylvania | 025752A |
| State of Rhode Island | LCO00856 |
| Federal Tax ID | 31-1805826 |
| NPI Number | 1023063062 |
| Medicare License | S300288100 |