Medford Medical Laboratory INC.
Clinical Medical Laboratory in Medford, Massachusetts
1104802529- Practice location
- 0 Governors Ave, B-2, Medford, MA 02155-3025
- Phone
- 781-395-0518
- Fax
- 781-391-0040
- Last updated
- August 22, 2020
Medford Medical Laboratory INC. is a healthcare organization based in Medford, MA. Medford Medical Laboratory INC. practices in Medford, MA. The NPI Number for Medford Medical Laboratory INC. is 1104802529 and holds a License No. 2191 (MA). The current practice location address for Medford Medical Laboratory INC. is 0 Governors Ave, B-2, Medford, MA 02155-3025 and can be reached out via phone at 781-395-0518 and via fax at 781-391-0040.
Provider Profile Details
- NPI Number
- 1104802529
- Provider Name
- Medford Medical Laboratory INC.
- Provider Entity Type
- Organization
- Address
- 0 Governors Ave, B-2, Medford, MA 02155-3025
- Phone Number
- 781-395-0518
- Fax Number
- 781-391-0040
- Primary Taxonomy
- Clinical Medical Laboratory · 291U00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Lawrence Chapper, MT · President · 781-395-0518
- Provider Enumeration Date
- December 17, 2005
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 0 Governors Ave
B-2
Medford, MA 02155-3025 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3025
- Phone Number
- 781-395-0518
- Fax Number
- 781-391-0040
Provider Business Mailing Address Details
- Address
- 0 Governors Ave
B-2
Medford, MA 02155-3025 - City
- Medford
- State
- MA
- Zip
- 02155-3025
- Phone Number
- 781-395-0518
- Fax Number
- 781-391-0040
License Information
- License Number
- 2191
- License State
- MA
- Taxonomy
- Clinical Medical Laboratory · 291U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Medford Medical Laboratory INC.?
The NPI number of Medford Medical Laboratory INC. is 1104802529. It was assigned on December 17, 2005 and is currently active in the NPPES registry.
What is the specialty of Medford Medical Laboratory INC.?
Medford Medical Laboratory INC. is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in MA under license number 2191.
Where does Medford Medical Laboratory INC. practice?
The practice location is 0 Governors Ave, B-2, Medford, MA 02155-3025. The office can be reached at 781-395-0518 (phone) or 781-391-0040 (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 1104802529 directly on the NPPES registry website.