ESOTERIX GENETIC LABORATORIES, LLC (NPI# 1649572017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649572017 |
| Entity Type | Organization |
| Organization Name | ESOTERIX GENETIC LABORATORIES, LLC |
| Practice Address |
3400 Computer Dr Westborough MA 01581-1771 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 5088989001 |
| Mailing Telephone | 8002227566 |
| Mailing Fax Number | 3364361048 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | KIMBERLY T WILLIAMS (VICE PRESIDENT) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 22D0650245 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536107 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3 Forest Pkwy, Shelton, CT 06484-6122 | 2018-01-12 |
| 1659672004 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 533 W 57th St, New York, NY 10019-2901 | 2010-11-16 |
| 1043511496 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 12906 Tampa Oaks Blvd, Ste 300, Temple Terrace, FL 33637-1153 | 2010-11-16 |
| 1588965941 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 8300 Old Courthouse Rd Ste 240, Vienna, VA 22182-3822 | 2010-11-16 |
| 1467753814 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 4310 E Cotton Center Blvd Ste 120, Phoenix, AZ 85040-8857 | 2010-11-16 |
| 1679874028 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2010-11-16 |
| 1801197256 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 2000 Vivigen Way, Santa Fe, NM 87505-5600 | 2010-11-16 |
| 1023319407 | Esoterix Genetic Laboratories, LLC | Clinic/Center | 2440 S Sepulveda Blvd, Ste 100, Los Angeles, CA 90064-1784 | 2010-11-16 |
| 1922309376 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 17772 17th St, Suite 200 Room 217, Tustin, CA 92780-1944 | 2010-11-16 |
| 1689975021 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3400 Computer Dr, Westborough, MA 01581-1771 | 2010-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ESOTERIX GENETIC LABORATORIES, LLC | 3400 Computer Dr, Westborough, MA 01581-1771 |
| Colorado Business Entities | Esoterix Genetic Laboratories, LLC | 531 South Spring Street, Burlington, NC 27215 |
| Massachusetts Corporations | ESOTERIX GENETIC LABORATORIES, LLC | 231 Maple Avenue, Burlington, NC 27215 |
| Ohio Business Entities | ESOTERIX GENETIC LABORATORIES, LLC | 358 South Main Street, Burlington, NC 27215 |
| Oklahoma Business Registrations | ESOTERIX GENETIC LABORATORIES, LLC | 358 S Main St, Burlington, NC 27215 |
| Street Address |
3400 COMPUTER DR |
| City | WESTBOROUGH |
| State | MA |
| Zip Code | 01581-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260316 | Jodie Lynn Asher | Genetic Counselor, MS | 3400 Computer Dr, Westborough, MA 01581-1771 | 2005-10-25 |
| 1467848481 | Victoria Chu | Genetic Counselor, MS | 3400 Computer Dr, Westborough, MA 01581-1771 | 2015-04-07 |
| 1003231192 | Nikkola Carmichael | Genetic Counselor, MS | 3400 Computer Dr, Westborough, MA 01581-1771 | 2014-02-26 |
| 1245589704 | Bailey Gallinger | Genetic Counselor, MS | 3400 Computer Dr, Westborough, MA 01581-1771 | 2012-08-30 |
| 1609142710 | Cynthia Jane Trotter | Genetic Counselor, MS | 3400 Computer Dr, Westborough, MA 01581-1771 | 2012-03-23 |
| 1801181516 | Whitney Anne Hunter | Genetic Counselor, MS | 3400 Computer Dr, Westborough, MA 01581-1771 | 2011-06-10 |
| 1689975021 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3400 Computer Dr, Westborough, MA 01581-1771 | 2010-11-16 |
| 1174843387 | Melissa S Samons | Genetic Counselor, MS | 3400 Computer Dr, Westborough, MA 01581-1771 | 2010-06-10 |
| 1194951467 | Laura Flint | Technician, Other | 3400 Computer Dr, Westborough, MA 01581-1771 | 2009-06-01 |
| 1003096330 | Hui Zhu | Medical Genetics, Ph.D. Medical Genetics | 3400 Computer Dr, Westborough, MA 01581-1771 | 2007-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791957 | Colby Schulz | Occupational Therapist | Kindred Transitional Care - Therapy Department, 8 Colonial Drive, Westborough, MA 01581 | 2018-08-28 |
| 1134621055 | Rachel Bennet | Counselor | 288 Lyman Street, Allen Hall- Suite 2, Westborough, MA 01581 | 2018-03-07 |
| 1003318031 | Adrienne Gladding | Social Worker | 288 Lynam St, Suite 2, Westborough, MA 01581 | 2018-03-06 |
| 1760997670 | Westborough Dental Partners, P.C. | Dentist | 176 E Main St Ste 2, Westborough, MA 01581 | 2017-12-14 |
| 1578912432 | Daylene Marshall | Counselor | 155a Oak Street, Westborough, MA 01581 | 2016-06-10 |
| 1366890709 | Autism Resource &therapy Center | Behavioral Analyst | 1900 West Park Dr, Westborough, MA 01581 | 2016-05-26 |
| 1649699802 | Jean Breen | Counselor | 154 Oak Street, Westboro, MA 01581 | 2014-04-15 |
| 1760772123 | Ayon Bose | Counselor | 45 Lyman St Ste 11, Westborough, MA 01581 | 2011-04-19 |
| 1437472917 | Sharon Levesque Courville | Social Worker | 5 East Main St., Ste. 3, Westborough, MA 01581 | 2010-03-11 |
| 1063645844 | Town of Westborough | Counselor | 45 West Main St, Westborough, MA 01581 | 2009-08-27 |
| Find all providers in zip 01581 | ||||
| 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 |
|---|---|---|---|---|
| 1023505674 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 900 Union St, Westborough, MA 01581-5408 | 2018-04-19 |
| 1255777496 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 106 E Main St, Westborough, MA 01581-1417 | 2013-05-15 |
| 1689975021 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3400 Computer Dr, Westborough, MA 01581-1771 | 2010-11-16 |
| 1083674915 | Genzyme Corporation | Clinical Medical Laboratory | 3400 Computer Dr, Westborough, MA 01581-1771 | 2006-03-24 |
| 1912970252 | Correlagen Diagnostics, Inc. | Clinical Medical Laboratory | 3400 Computer Dr, Ste 100, Westborough, MA 01581-1771 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749670 | Veritas Genetics Inc. | Clinical Medical Laboratory | 99 Conifer Hill Dr Ste 102, Danvers, MA 01923-1194 | 2020-10-27 |
| 1710585385 | Eco Laboratory | Clinical Medical Laboratory | 1 Acton Pl Ste 102, Acton, MA 01720-3951 | 2020-10-15 |
| 1336751015 | Proterixbio, Inc | Clinical Medical Laboratory | 1 Fortune Dr, Billerica, MA 01821-3923 | 2020-08-23 |
| 1912516352 | Clinical Enterprise, Inc. | Clinical Medical Laboratory | 175 Crossing Blvd Ste 400, Framingham, MA 01702-4472 | 2020-07-30 |
| 1366069130 | Kephera Diagnostics, LLC | Clinical Medical Laboratory | 1 Grant St Ste 300, Framingham, MA 01702-6767 | 2020-06-28 |
| 1053937797 | Central Lab Partners | Clinical Medical Laboratory | 124 W Boylston St, Worcester, MA 01606-2733 | 2020-06-18 |
| 1528688041 | Orig3n, Inc. | Clinical Medical Laboratory | 27 Drydock Ave Ste 3, Boston, MA 02210-2382 | 2020-04-24 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1770047995 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 5 Neponset St Ste 1581, Worcester, MA 01606-2714 | 2019-01-23 |
| 1902390628 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 69 Camp St, Hyannis, MA 02601-3046 | 2018-06-16 |
| Find all providers with the same taxonomy | ||||
| City | WESTBOROUGH |
| Zip Code | 01581 |
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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.