TODD BRANDON GRAHAM — NPI 1801549845 (CLIA-Certified Diagnostic Medical & Pathology Laboratory in SAINT ALBANS, NY)

CMS-1500 Box 24J / 33a • NPI

1801549845

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

291900000X (CMS B4[14])

CLIA-Certified Diagnostic Medical & Pathology Laboratory

Box 32 Service Location & ZIP+4

18807 DUNKIRK DR APT 1, SAINT ALBANS, NY, 11412-3002

✓ 9-Digit EDI 837 ZIP+4 (11412-3002)

Practice Phone & Referral Fax

(646) 436-0201

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1801549845 (TODD BRANDON GRAHAM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1801549845` (NPI-1 Individual Practitioner)
Provider / Legal Name	TODD BRANDON GRAHAM
Plain-English Specialty	CLIA-Certified Diagnostic Medical & Pathology Laboratory NUCC Code: `291900000X` (Military Clinical Medical Laboratory)
Certifying / Licensing Body	CMS CLIA / College of American Pathologists (CAP)
Practice Location Address	18807 DUNKIRK DR APT 1, SAINT ALBANS, NY, 11412-3002
Practice Telephone / Fax	Tel: (646) 436-0201
Administrative Mailing Address	18807 DUNKIRK DR APT 1, SAINT ALBANS, NY, 11412-3002
Enumeration & Last Sync	Enumerated: 2022-01-31 \| CMS Record Updated: 2022-01-31

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

18807 DUNKIRK DR APT 1, SAINT ALBANS, NY, 11412-3002

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Plain-English Taxonomy & CMS Crosswalk (291900000X)

What Does Taxonomy Code 291900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 291900000X translates to:
"CLIA-Certified Diagnostic Medical & Pathology Laboratory"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Histocompatibility Laboratory)
Certifying / Accrediting Authority: CMS CLIA / College of American Pathologists (CAP)
Clinical Scope: Fasting blood tests, bilirubin and liver function tests, kidney function (creatinine/eGFR), urine culture and sensitivity, or PCR molecular diagnostics.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TODD BRANDON GRAHAM)

Typical CPT / Diagnostic Procedures:

Complete Blood Count (CBC) with Automated Differential (CPT 85025)
Comprehensive Metabolic Panel (CMP), Fractionated Bilirubin & Hepatic Panel
Quantitative Urine Culture & Colony Count (≥ 10⁵ CFU/mL) with Antibiotic Susceptibility
HbA1c, Lipid Panel, TSH & High-Sensitivity Troponin Assays

Common Therapeutic Classes:

Diagnostic Reagent Panels & CLSI Antimicrobial Susceptibility Disks/MIC Cards

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`291900000X` — Military Clinical Medical Laboratory Plain English: CLIA-Certified Diagnostic Medical & Pathology Laboratory	State: NY \| License: `014175` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TODD BRANDON GRAHAM (NPI #1801549845)