The Commonwealth Of Massachusetts in Boston - Clinical Medical Laboratory

The Commonwealth Of Massachusetts - NPI 1053463448

The Commonwealth Of Massachusetts is a Clinical Medical Laboratory in Boston, Massachusetts. The Commonwealth Of Massachusetts practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for The Commonwealth Of Massachusetts is 1053463448. The last update date is 2023-04-05.

The Commonwealth Of Massachusetts's current location address is 305 South St, Boston, Massachusetts. You can contact this provider via phone number 6179836668. The mailing address for The Commonwealth Of Massachusetts is 305 South St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Commonwealth Of Massachusetts
Address 305 South St, Boston, Massachusetts
Phone Number 6179836668
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DEPUTY DIR
Authorized Official Name Dunn Elizabeth Cecilia
Telephone Number 6179636413

NPI Number Detail

NPI Number 1053463448
Provider Enumeration Date 2007-01-17
Last Updated Date 2023-04-05

Provider Mailing Address Detail

Address 305 South St
City Boston
State Massachusetts (MA)
Post Code 21303515
Phone Number 6179836668
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Definition:
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
800470 HEALTH PILGRIM HEALTH PLA
805998 MA --
804460 TUFTS HEALTH PLAN
BOSTON HEALTHNE 20611
32545 CHILDRENS MEDICAL SECURIT
228421 MA BLUE CROSS OF MASS

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FAQs about The Commonwealth Of Massachusetts

What is the unique identification code assigned to The Commonwealth Of Massachusetts by the Centers for Medicare & Medicaid Services?

The The Commonwealth Of Massachusetts has been issued the NPI (National Provider Identifier) 1053463448. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where The Commonwealth Of Massachusetts is physically located?

The The Commonwealth Of Massachusetts is situated at the following address: 305 South St, Boston, MA 21303515.

What is the The Commonwealth Of Massachusetts's specialty and taxonomy code?

The The Commonwealth Of Massachusetts's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1053463448 to The Commonwealth Of Massachusetts?

The The Commonwealth Of Massachusetts received its 1053463448 assignment from the Centers for Medicare & Medicaid Services on 2007-01-17.

As of what date were the details pertaining to The Commonwealth Of Massachusetts last refreshed?

The information related to the The Commonwealth Of Massachusetts, including its address, specialty, and other relevant details, was last updated on 2023-04-05.

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