1073648069 NPI number — SKIN PATHOLOGY LABORATORY, INC.

Table of content: (NPI 1073648069)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073648069 NPI number — SKIN PATHOLOGY LABORATORY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SKIN PATHOLOGY LABORATORY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073648069
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
680 WORCESTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRAMINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01702-5259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-620-2800
Provider Business Mailing Address Fax Number:
508-620-2808

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
609 ALBANY ST FL 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02118-2515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-638-5570
Provider Business Practice Location Address Fax Number:
617-638-5575
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BHAWAN
Authorized Official First Name:
JAG
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
617-638-5570

Provider Taxonomy Codes

  • Taxonomy code: 207ND0900X , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9750878 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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