IMGEN DIAGNOSTICS, INC. (NPI# 1518035963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518035963 |
| Entity Type | Organization |
| Organization Name | IMGEN DIAGNOSTICS, INC. |
| Practice Address |
321 Fortune Blvd Milford MA 01757-1750 |
| Practice Telephone | 5084733770 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HAMID M. DIOUN (PRESIDENT) |
| Authorized Official Telephone | 5084733770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 1365 | MD | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | 2485 | MA | Laboratories |
| N | 291U00000X | Clinical Medical Laboratory | MA | Laboratories |
| Street Address |
321 FORTUNE BLVD |
| City | MILFORD |
| State | MA |
| Zip Code | 01757-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819000 | David J Harrington | Obstetrics & Gynecology | 321 Fortune Blvd, Department of Ob/gyn, Milford, MA 01757-1750 | 2005-11-25 |
| 1265033260 | Saskia Maxine Martinez | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-11-05 |
| 1710588777 | Marissa Nicole Barros | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-11-05 |
| 1548861735 | Marislena Amezquita | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-11-04 |
| 1124628243 | Elizabeth Marie Larson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-28 |
| 1710587290 | Loren Michelle Jarman | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-26 |
| 1538768015 | Jordan Howard | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-26 |
| 1871192641 | Nancy Thi Hoang | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-22 |
| 1497354492 | Laurie Marie Furtado | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-21 |
| 1285233163 | Milagro Rivera Delaney | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
| 1689217739 | Aleosa Assurance Healthcare LLC | In Home Supportive Care | 199 Main St # 4, Milford, MA 01757 | 2019-10-22 |
| 1578028494 | Point of Healing Acupuncture LLC | Acupuncturist | 114 Water Street, Building 1, Milford, MA 01757 | 2019-02-05 |
| 1205354701 | Cristina Alexandra Cruz | Psychologist | 10 Asylum Street, Milford, MA 01757 | 2017-09-05 |
| 1316460694 | Kayla Supple | Behavioral Analyst | 7 Caroline Drive, Milford, MA 01757 | 2017-07-19 |
| 1487176111 | Kelsey Elizabeth Meleady | Developmental Therapist | 421 Fortune Boulevard, Milford, MA 01757 | 2017-07-14 |
| 1376065748 | Roberta Marie Mcleod | Developmental Therapist | 321 Fortune Boulevard, Milford, MA 01757 | 2017-07-07 |
| 1124442884 | Cornerstone At Milford | Assisted Living Facility | 11 Birch St., Milford, MA 01757 | 2014-02-14 |
| 1861835126 | Haylie Nichele Fuhrmann | Social Worker | 32 Hamilton St, Milford, MA 01757 | 2013-04-16 |
| 1558602680 | Lauren Kate Stasiukiewicz | Developmental Therapist | 321 Forture Blvd, Milford, MA 01757 | 2013-03-14 |
| Find all providers in zip 01757 | ||||
| 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. |
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| 1508863713 | Milford Medical Laboratory, Inc. | Clinical Medical Laboratory | 2068 Bridgeport Ave, Milford, CT 06460-4634 | 2005-07-01 |
| 1770053548 | Lab At Seascape | Clinical Medical Laboratory | 1031 Canterbury Rd, Milford, DE 19963-5511 | 2018-12-04 |
| 1407343056 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 101 Cedar St, Milford, MA 01757-1101 | 2018-04-19 |
| 1164868303 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 176 West St, Milford, MA 01757-2236 | 2013-05-15 |
| 1083986905 | Brli Genpath Diagnostics, Inc | Clinical Medical Laboratory | 25 Birch St, Building C, 3rd Floor, Milford, MA 01757-3585 | 2012-02-08 |
| 1366714446 | Bio-reference Laboratories, Inc. | Clinical Medical Laboratory | 25 Birch St, Bldg C. 3rd Florr, Milford, MA 01757-3585 | 2012-02-03 |
| 1427219211 | Sem Haven Inc | Clinical Medical Laboratory | 225 Cleveland Ave, Milford, OH 45150-1009 | 2008-06-24 |
| 1437202942 | Bio-lab, Inc. | Clinical Medical Laboratory | 215 West St, Milford, MA 01757-2277 | 2007-01-19 |
| Find all providers in MILFORD | ||||
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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.