COURTAGEN LIFE SCIENCES, INC. (NPI# 1144590449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144590449 |
| Entity Type | Organization |
| Organization Name | COURTAGEN LIFE SCIENCES, INC. |
| Other Organization Name | COURTAGEN DIAGNOSTICS LABORATORY |
| Practice Address |
8 Cabot Rd Suite 2000 Woburn MA 01801-1004 |
| Practice Telephone | 8773957608 |
| Practice Fax Number | 6172490394 |
| Mailing Telephone | 8773957608 |
| Mailing Fax Number | 6172490394 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | RICHARD BRIAN MCKERNAN (CEO) |
| Authorized Official Telephone | 6178927179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | APPLIED FOR | MA | Laboratories |
| Other Name | Type Code |
|---|---|
| Courtagen Diagnostics Laboratory | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COURTAGEN LIFE SCIENCES, INC. | 12 Gill Street, Suite 3700, Woburn, MA 01801 |
| Street Address |
8 CABOT RD SUITE 2000 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-1004 |
| 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 |
| 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 |
| 1134189335 | Clinigen, Inc. | Clinical Medical Laboratory | 150a New Boston Street, Woburn, MA 01801-6204 | 2006-03-23 |
| 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.