WILLOW STREET MEDICAL LAB LLC (NPI# 1740237304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740237304 |
Entity Type | Organization |
Organization Name | WILLOW STREET MEDICAL LAB LLC |
Other Organization Name | WILLOW LABORATORIES AND MEDICAL CENTER |
Practice Address |
280 Union St Lynn MA 01901-1353 |
Practice Telephone | 7815933480 |
Mailing Telephone | 7812682400 |
Enumeration Date | 2006-05-28 |
Last Update Date | 2013-02-06 |
Authorized Official Name | GAIL B MARCUS (PRESIDENT CEO) |
Authorized Official Telephone | 7812682400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 2346 | MA | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0805807 | 05 |
Other Name | Type Code |
---|---|
Willow Laboratories and Medical Center | Doing Business As Name - Organization |
Street Address |
280 UNION ST |
City | LYNN |
State | MA |
Zip Code | 01901-1353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467075614 | Henry Lou-goode | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-05-22 |
1386279271 | Ashley Winneberger | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-03-11 |
1841822897 | Jodi Lynne Amor | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-02-07 |
1275187676 | Welky Alexandra Galvis | Internal Medicine | 280 Union St, Lynn, MA 01901 | 2019-07-24 |
1093285405 | Bhoomi Utkal Patel | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2018-11-28 |
1770065807 | Christine Elizabeth Bowler | Nurse Practitioner | 280 Union St, Lynn, MA 01901-1353 | 2018-09-05 |
1235635657 | Morgan Mako | Nurse Practitioner | 280 Union St, Lynn, MA 01901-1353 | 2018-04-04 |
1164920450 | Christina Polsonetti | Case Manager/Care Coordinator | 280 Union St, Lynn, MA 01901-1353 | 2018-02-01 |
1861908642 | Jennifer Lee Calder | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2017-12-15 |
1205378593 | Amie Lee Begin | Nurse Practitioner | 280 Union St, Lynn, MA 01901-1353 | 2016-11-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
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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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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 |
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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.