REPROSOURCE FERTILITY DIAGNOSTICS, INC (NPI# 1003078403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003078403 |
| Entity Type | Organization |
| Organization Name | REPROSOURCE FERTILITY DIAGNOSTICS, INC |
| Practice Address |
300 Trade Center Suite 6540 Woburn MA 01801 |
| Practice Telephone | 8006678893 |
| Practice Fax Number | 7819353068 |
| Mailing Telephone | 8006678893 |
| Mailing Fax Number | 7819353068 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | BENJAMIN LEADER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8006678893 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 2554 | MA | Laboratories |
| Street Address |
300 TRADE CENTER SUITE 6540 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831190453 | Proex Physical Therapy, LLC | Clinic/Center | 300 Trade Center, Suite 1650, Woburn, MA 01801 | 2005-08-04 |
| 1073060653 | Lauren Kelly Wright | Nurse Practitioner | 300 Trade Center, Suite 4750, Woburn, MA 01801 | 2016-09-01 |
| 1871873679 | Cognitive Behavior Therapy Associates, LLC | Psychologist | 300 Trade Center, Suite 7790, Woburn, MA 01801 | 2011-08-24 |
| 1710028998 | Neil D. Hutchinson | Chiropractor | 300 Trade Center, Suite #4460, Woburn, MA 01801-7426 | 2007-02-09 |
| 1700859972 | Lee Zohn | Chiropractor | 300 Trade Center, Suite #4460, Woburn, MA 01801 | 2006-02-08 |
| 1992778161 | Gary Kane | Chiropractor | 300 Trade Center, Suite #4460, Woburn, MA 01801 | 2006-02-08 |
| 1538131057 | Heidi Henrickson | Chiropractor | 300 Trade Center, Suite 300, Woburn, MA 01801 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790294908 | Mitra Rxdx | Clinical Medical Laboratory | 12 Gill St Ste 3150, Woburn, MA 01801-1777 | 2017-09-20 |
| 1477094274 | Lawrence Med Lab LLC | Clinical Medical Laboratory | 395 W Cummings Park, Woburn, MA 01801-6335 | 2017-03-13 |
| 1861935785 | Bla of Massachusetts, LLC | Clinical Medical Laboratory | 57 Commerce Way, Woburn, MA 01801-1005 | 2016-11-25 |
| 1285973552 | United Esoterics Corp | Clinical Medical Laboratory | 21g Olympia Ave Ste 50, Woburn, MA 01801-6328 | 2013-02-06 |
| 1144590449 | Courtagen Life Sciences, Inc. | Clinical Medical Laboratory | 8 Cabot Rd, Suite 2000, Woburn, MA 01801-1004 | 2012-01-04 |
| 1831345347 | Advanced Calloway Laboratories, LLC | Clinical Medical Laboratory | 34 Commerce Way, Suite L, Woburn, MA 01801-1074 | 2008-08-15 |
| 1972715514 | United Esoterics | Clinical Medical Laboratory | 18 Commerce Way Ste 4600, Woburn, MA 01801-1097 | 2007-05-04 |
| 1538387840 | Repromedix Corp | Clinical Medical Laboratory | 86 Cummings Park, Woburn, MA 01801-2125 | 2007-04-23 |
| 1770631418 | Patient First Testing | Clinical Medical Laboratory | 18 Tower Office Park, Woburn, MA 01801-2113 | 2007-01-08 |
| 1902826381 | Calloway Laboratories Inc. | Clinical Medical Laboratory | 12 Gill St, Suite 4000, Woburn, MA 01801-1765 | 2006-07-20 |
| Find all providers in WOBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.