SUBURBAN DIAGNOSTIC LABS (NPI# 1548287220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548287220 |
| Entity Type | Organization |
| Organization Name | SUBURBAN DIAGNOSTIC LABS |
| Practice Address |
82 Forest St Medford MA 02155-3105 |
| Mailing Address |
Po Box 155 Westwood MA 02090-0155 |
| Practice Telephone | 7813209680 |
| Practice Fax Number | 7813296929 |
| Mailing Telephone | 7813209680 |
| Mailing Fax Number | 7813296929 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ELIA MCLAUGHLIN (OWNER\PRESIDENT) |
| Authorized Official Telephone | 7813209680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
4485 | MA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
82 FOREST ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721795 | Eric R Gheewalla | Dentist | 82 Forest St, Medford, MA 02155-3130 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752414 | Orvis Enterprises, Inc | Radiologic Technologist | 832 E Main St, Suite 4, Medford, OR 97504-7153 | 2005-07-05 |
| 1952659955 | Kelsey Starley | Radiologic Technologist | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2012-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982130167 | Steven Amato | Radiologic Technologist | 365 Lincoln St, Stoughton, MA 02072-4137 | 2017-05-07 |
| 1316299498 | Dmitriy Shlemanov | Radiologic Technologist | 70 Court St. Same Day Ultrasound, Suite # 6, Westfield, MA 01085-3521 | 2012-10-12 |
| 1558667733 | Advantage Imaging Solutions, LLC | Radiologic Technologist | 220 Forbes Rd, Suite 304, Braintree, MA 02184-2705 | 2011-02-04 |
| 1639379563 | Shared Diagnostic Services, Inc | Radiologic Technologist | 143 Federal St, Weymouth, MA 02188-2812 | 2007-07-19 |
| 1588747356 | Ultra Diagnostics Incorporated | Radiologic Technologist | 180 Gardner St, Hingham, MA 02043-3746 | 2006-10-23 |
| 1649367160 | Nancy N Ngo | Radiologic Technologist | 121 Wilmington Ave, Dorchester Center, MA 02124-4627 | 2006-10-06 |
| 1649233156 | Shaila Ashok Cholli | Radiologic Technologist | 2 Cthouse Ln Un, Unit 11, Chelmsford, MA 01824-1715 | 2006-04-07 |
| 1972125102 | Youssef Mina | Radiologic Technologist | 67 Union St, Natick, MA 01760-7700 | 2020-05-11 |
| 1114398609 | Christina Festog | Radiologic Technologist | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-10-09 |
| 1588920276 | Shared Diagnostic Services, Inc | Radiologic Technologist | 420 Main St, Suite 14, Walpole, MA 02081-3753 | 2012-04-06 |
| Find all providers with the same taxonomy | ||||
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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.