Reprosource Fertility Diagnostics, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2554 Issued in MA

Legal business name

REPROSOURCE FERTILITY DIAGNOSTICS, INC

Practice address

200 Forest Street
2ND Floor, Suite B
Marlborough, MA 01752-3023

Phone

(800) 667-8893

Fax

(781) 935-3068

NPI assigned

Jun 26, 2008

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leah D Timmerman

Title

Vice President

Phone

(973) 520-2700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Simon Leader, M.D., PH.D.

  • Emergency Medicine Physician
  • Woburn, MA
  • NPI 1902185341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1003078403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 REGENT BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632445",
            "telephone_number": "866-697-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOREST STREET",
            "address_2": "2ND FLOOR, SUITE B",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523023",
            "telephone_number": "800-667-8893",
            "fax_number": "781-935-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPROSOURCE FERTILITY DIAGNOSTICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "973-520-2700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Rene, MA
• Renew Behavioral Health & Wellness
• Bella L Rengifo Garcia
• Alyssa Renkewitz
• Ledgerhood Julius Rennie Jr.
• Kathryn Restivo
• Mariana Rey Naar
• Daniela A Reyes
• Dyani-Janelle Reyes
• Izmarizaray Reyes

• Clinical Medical Laboratory in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.