Dermpath New England, Llc

LBN: Dermpath New England, Llc
Dermpath New England, Llc is an health care organization with primary practice located at 1380 Soldiers Field Rd Ste 3800 , Boston MA 02135-1047. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Dermpath New England, Llc can be contacted via phone (617) 254-7284, or through Grattendick, Michael C. via phone (561) 514-5822.

Contact Information

Primary practice address
1380 Soldiers Field Rd Ste 3800 Boston MA 02135-1047
Phone: (617) 254-7284
Fax: (617) 254-4116
Website:
Map and Directions
Authorized official contact:
Name: Grattendick, Michael C.
Phone: (561) 514-5822

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 3429 Massachusetts

Profile Details

NPI number 1558451666
LBN Legal business name Dermpath New England, Llc
DBA Doing business as
Authorized official Grattendick, Michael C.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 26th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558451666 NPPES
Massachusetts Other 22D1049111 CLIA
Massachusetts MEDICAID 110074861A CLIA

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