Impact Sports Lab
Clinic/Center, Health Services in Woburn, Massachusetts
1922857432- Practice location
- 220 W Cummings Park, Woburn, MA 01801-6346
- Phone
- 617-549-6296
- Fax
- —
- Last updated
- May 16, 2024
Impact Sports Lab is a healthcare organization based in Woburn, MA. Impact Sports Lab practices in Woburn, MA. The NPI Number for Impact Sports Lab is 1922857432. The current practice location address for Impact Sports Lab is 220 W Cummings Park, Woburn, MA 01801-6346 and can be reached out via phone at 617-549-6296.
Provider Profile Details
- NPI Number
- 1922857432
- Provider Name
- Impact Sports Lab
- Provider Entity Type
- Organization
- Address
- 220 W Cummings Park, Woburn, MA 01801-6346
- Phone Number
- 617-549-6296
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Ian Carrera · Owner · 617-549-6296
- Provider Enumeration Date
- May 16, 2024
- Last Update Date
- May 16, 2024
- Certification Date
- May 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 W Cummings Park
Woburn, MA 01801-6346 - City
- Woburn
- State
- Massachusetts
- Zip
- 01801-6346
- Phone Number
- 617-549-6296
Provider Business Mailing Address Details
- Address
- 220 W Cummings Park
Woburn, MA 01801-6346 - City
- Woburn
- State
- MA
- Zip
- 01801-6346
- Phone Number
- 617-549-6296
License Information
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · 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 Impact Sports Lab?
The NPI number of Impact Sports Lab is 1922857432. It was assigned on May 16, 2024 and is currently active in the NPPES registry.
What is the specialty of Impact Sports Lab?
Impact Sports Lab is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X).
Where does Impact Sports Lab practice?
The practice location is 220 W Cummings Park, Woburn, MA 01801-6346. The office can be reached at 617-549-6296 (phone).
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 1922857432 directly on the NPPES registry website.