FAMILY CARE MEDICAL CENTER LABORATORY (NPI# 1902094568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902094568 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE MEDICAL CENTER LABORATORY |
| Practice Address |
1515 Allen St Springfield MA 01118-1803 |
| Practice Telephone | 4147839114 |
| Practice Fax Number | 4137820960 |
| Mailing Telephone | 4137839114 |
| Mailing Fax Number | 4137820960 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | MS. PATRICIA ANN DETOMAS (FINANCIAL ADMINISTRATOR) |
| Authorized Official Telephone | 4137826074 |
| Is Organization Subpart | Y |
| Parent Organization Name | URGENT CARE PHYSICIANS P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 2483 | MA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS/BLUE SHIELD MA | M13659 | 01 |
| Street Address |
1515 ALLEN ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01118-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013995430 | John J Alifano | Family Medicine | 1515 Allen St, Springfield, MA 01118-1803 | 2006-01-05 |
| 1548890270 | Elizabeth Kate Reale | Physician Assistant | 1515 Allen St, Springfield, MA 01118-1803 | 2020-01-22 |
| 1578075859 | Laurie Ann Casolari | Physical Therapist | 1515 Allen St, Springfield, MA 01118-1803 | 2017-10-26 |
| 1558717439 | Solmaz Masoudi | Physician Assistant | 1515 Allen St, Suite B, Springfield, MA 01118-1803 | 2016-05-10 |
| 1649579707 | Urgent Care Physicians, P.C. | Clinic/Center | 1515 Allen St, Springfield, MA 01118-1803 | 2011-03-15 |
| 1720315914 | Urgent Care Physicians, PC | Psychologist | 1515 Allen St, Springfield, MA 01118-1803 | 2009-11-09 |
| 1114152352 | Anne C. Pratt | Psychologist | 1515 Allen St, Family Care Medical Center, Springfield, MA 01118-1803 | 2009-05-18 |
| 1710143029 | Rebecca Tyler Bassett | Physician Assistant | 1515 Allen St, Springfield, MA 01118-1803 | 2008-08-06 |
| 1639367295 | Family Care Physicial Therapy | Clinic/Center | 1515 Allen St, Springfield, MA 01118-1803 | 2007-10-09 |
| 1467649715 | Center for Eye Excellence | Ophthalmology | 1515 Allen St, Suite E, Springfield, MA 01118-1803 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061036 | Elizabeth Light | Social Worker | 211 S Branch Pkwy, Springfield, MA 01118 | 2017-09-01 |
| 1336507300 | Carla Vieu | Counselor | 25 Pebblemill Rd, Springfield, MA 01118 | 2016-02-05 |
| 1811309172 | Kristin Espinosa | Counselor | 1325 Allen St, Springfield, MA 01118 | 2014-05-21 |
| 1578903969 | Erica Begley | Social Worker | 51 Wexford Street, Springfield, MA 01118 | 2013-06-28 |
| 1568761260 | David Stuart Bloomberg | Pharmacist | 126 Island Pond Road, Springfield, MA 01118 | 2011-03-21 |
| 1376665554 | Robins Eyecare, LLC | Optometrist | 1268 Sumner Ave., Springfield, MA 01118 | 2007-04-06 |
| 1821163312 | Mary Ann Celentano | Optometrist | 305 Bicentennial Highway, Springfield, MA 01118 | 2006-11-21 |
| 1508951054 | Marcus Anthony Lopez | Dentist | 1235 Sumner Ave, Springfield, MA 01118 | 2006-10-03 |
| 1588622070 | David J Doyle | Emergency Medicine | 1515 Allen Street, Springfield, MA 01118 | 2006-05-03 |
| 1093773814 | Christine A Sickle | Pediatrics | 1515 Allen St, Suite B, Sumner Pediatrics, PC, Springfield, MA 01118 | 2006-05-02 |
| Find all providers in zip 01118 | ||||
| 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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| 1235613712 | Identi-check, Inc | Clinical Medical Laboratory | 3 N Old State Capitol Plz, Springfield, IL 62701-1313 | 2018-09-20 |
| 1659738631 | Dynamic Dna Laboratories, LLC | Clinical Medical Laboratory | 2144 E Republic Rd, Suite B204, Springfield, MO 65804-4623 | 2016-01-21 |
| 1790170447 | Labworks LLC | Clinical Medical Laboratory | 6412 Brandon Ave Ste 342, Springfield, VA 22150-2513 | 2015-03-31 |
| 1235413428 | Labone LLC | Clinical Medical Laboratory | 1242 E Independence St Ste 200, Springfield, MO 65804-4284 | 2011-10-06 |
| 1689966038 | Springfield Clinic Soga Lab | Clinical Medical Laboratory | 900 N 1st St Fl 1, Springfield, IL 62702-3749 | 2011-05-04 |
| 1891023164 | Illinois Department of Public Health | Clinical Medical Laboratory | 525 West Jefferson, 1st Floor, Springfield, IL 62761 | 2009-11-25 |
| 1124286976 | Springfield Clinic Hematology Oncology Lab | Clinical Medical Laboratory | 900 N 1st St Fl 4, Springfield, IL 62702-3749 | 2008-05-29 |
| 1992925580 | Illinois Department of Public Health | Clinical Medical Laboratory | 825 N Rutledge St, Springfield, IL 62702-4910 | 2007-04-26 |
| 1205975174 | Tri-lakes Pathology Services,l.l.c. | Clinical Medical Laboratory | 1000 E Primrose St Ste 300, Springfield, MO 65807-5178 | 2007-02-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01118 |
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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.