CORRELAGEN DIAGNOSTICS, INC. (NPI# 1912970252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912970252 |
| Entity Type | Organization |
| Organization Name | CORRELAGEN DIAGNOSTICS, INC. |
| Practice Address |
3400 Computer Dr Ste 100 Westborough MA 01581-1771 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 8666470735 |
| Mailing Telephone | 8002227566 |
| Mailing Fax Number | 3364361048 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2014-01-02 |
| Authorized Official Name | KIMBERLY WILLIAMS (VP) |
| 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 | 22D1044516 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CORRELAGEN DIAGNOSTICS, INC. | 231 Maple Avenue, Burlington, NC 27215 |
| Street Address |
3400 COMPUTER DR STE 100 |
| 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 |
| 1649572017 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3400 Computer Dr, Westborough, MA 01581-1771 | 2010-11-17 |
| 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 |
| 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. |
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|---|---|---|---|---|
| 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 |
| 1649572017 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3400 Computer Dr, Westborough, MA 01581-1771 | 2010-11-17 |
| 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 |
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| 1912516352 | Clinical Enterprise, Inc. | Clinical Medical Laboratory | 175 Crossing Blvd Ste 400, Framingham, MA 01702-4472 | 2020-07-30 |
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| 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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| 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.