NPIMap

Organization Active NPI

Elgon Business Group Inc

  • Clinical Medical Laboratory
  • Waltham, MA
National Provider Identifier
1003550864
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ELGON BUSINESS GROUP INC
Practice address
903 Main St Unit a
Waltham, MA 02451-7445
Phone
(781) 701-6172
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Harriet KidduNPI 1861153900
Title
Owner
Phone
(781) 701-6172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

903 Main St Unit a
Waltham, MA 02451-7445

Mailing address

903 Main St Unit a
Waltham, MA 02451-7445
Phone (781) 701-6172

National Provider Directory

National Provider Directory

Locations

903 Main St
#A
Waltham, MA 02451
Phone (781) 701-6172

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1003550864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 MAIN ST UNIT A",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517445",
            "telephone_number": "781-701-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MAIN ST UNIT A",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517445",
            "telephone_number": "781-701-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGON BUSINESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "KIDDU",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-701-6172"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.