Active NPIOrganization

The Commonwealth Of Massachusetts

Clinical Medical Laboratory in Jamaica Plain, Massachusetts

NPI Number1093856965
Practice location
305 South St, Jamaica Plain, MA 02130-3515
Fax
857-323-8352
Last updated
May 18, 2026

The Commonwealth Of Massachusetts is a healthcare organization based in Jamaica Plain, MA. The Commonwealth Of Massachusetts practices in Jamaica Plain, MA. The NPI Number for The Commonwealth Of Massachusetts is 1093856965. The current practice location address for The Commonwealth Of Massachusetts is 305 South St, Jamaica Plain, MA 02130-3515 and can be reached out via phone at 617-983-6675 and via fax at 857-323-8352.

Provider Profile Details

NPI Number
1093856965
Provider Name
The Commonwealth Of Massachusetts
Provider Entity Type
Organization
Address
305 South St, Jamaica Plain, MA 02130-3515
Phone Number
617-983-6675
Fax Number
857-323-8352
Primary Taxonomy
Clinical Medical Laboratory · 291U00000X
Organization Subpart
Yes
Parent Organization
The Commonwealth Of Massachusetts
Authorized Official
Matthew Courchene · Chief Financial Officer · 617-624-5309
Other Names
Sexually Transmitted Infections (Sti) Laboratory (Doing Business As)
Provider Enumeration Date
February 12, 2007
Last Update Date
May 18, 2026
Certification Date
May 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 South St
Jamaica Plain, MA 02130-3515
Zip
02130-3515
Phone Number
617-983-6675
Fax Number
857-323-8352
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
305 South St
Jamaica Plain, MA 02130-3515
City
Jamaica Plain
State
MA
Zip
02130-3515
Phone Number
617-983-6201
Fax Number
857-323-8352

License Information

Taxonomy
Clinical Medical Laboratory · 291U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of The Commonwealth Of Massachusetts?

The NPI number of The Commonwealth Of Massachusetts is 1093856965. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of The Commonwealth Of Massachusetts?

The Commonwealth Of Massachusetts is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X).

Where does The Commonwealth Of Massachusetts practice?

The practice location is 305 South St, Jamaica Plain, MA 02130-3515. The office can be reached at 617-983-6675 (phone) or 857-323-8352 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093856965 directly on the NPPES registry website.

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