PREDICTIVE BIOSCIENCES, INC. (NPI# 1669791901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669791901 |
| Entity Type | Organization |
| Organization Name | PREDICTIVE BIOSCIENCES, INC. |
| Practice Address |
128 Spring St 400 Level, B Annex Lexington MA 02421-7848 |
| Practice Telephone | 7814021780 |
| Practice Fax Number | 7813254939 |
| Mailing Telephone | 7814021780 |
| Mailing Fax Number | 7813254939 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | DR. PETER KLEMM (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7814021780 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 2929 | MA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA ID | 22D1105541 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PREDICTIVE BIOSCIENCES, INC. | 128 Spring Street, 400 Level - B Annex, Lexington, MA 02421 |
| Street Address |
128 SPRING ST 400 LEVEL, B ANNEX |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-7848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| 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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|---|---|---|---|---|
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| 1497223473 | X-gene Molecular Laboratories | Clinical Medical Laboratory | 989 Governors Ln Ste 140, Lexington, KY 40513-1174 | 2018-11-07 |
| 1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
| 1174886956 | Premiertox 2 0 LLC | Clinical Medical Laboratory | 3221 Summit Square Pl, Lexington, KY 40509-2653 | 2012-06-18 |
| 1407153810 | Lab Express Ltd, Pllc | Clinical Medical Laboratory | 2720 Old Rosebud Rd, Ste 280, Lexington, KY 40509-8004 | 2011-02-21 |
| 1336371749 | Laboratory and Biodiagnostics, LLC | Clinical Medical Laboratory | 2277 Thunderstick Dr, Lexington, KY 40505-9002 | 2009-08-18 |
| 1063445773 | Lexington County Health Services Districts, Inc. | Clinical Medical Laboratory | 122 Powell Drive, Lexington, SC 29072 | 2006-07-08 |
| 1275560906 | Quest Diagnostics Clinical Lab Inc. | Clinical Medical Laboratory | 2464 Fortune Drive, Suite 120, Lexington, KY 40509-4268 | 2006-06-27 |
| 1285612465 | Laboratory Corporation of America | Clinical Medical Laboratory | 2201 Regency Rd, Suite 506507, Lexington, KY 40503-2335 | 2006-01-06 |
| Find all providers in LEXINGTON | ||||
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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.