WILLOW STREET MEDICAL LAB LLC


Address: 280 Union St, Lynn, MA 01901-1353
Phone: 7815933480

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 2346 MA Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
MA 0805807 05

Other Provider/Organization Names

Other Name Type Code
Willow Laboratories and Medical Center Doing Business As Name - Organization

Office Location

Street Address 280 UNION ST
City LYNN
State MA
Zip Code 01901-1353

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and state

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
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Competitor

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City LYNN
Zip Code 01901

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Dataset Information

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.

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