Active NPI
Mwa, PC
- Clinical Medical Laboratory
- Chicopee, MA
National Provider Identifier
1013011683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MWA, PC
- Practice address
- 444 Montgomery St
Chicopee, MA 01020-1969 - Phone
- (413) 594-3111
- Fax
- (413) 598-7115
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Robert L Lounsbury, MD
- Title
- President
- Phone
- (413) 789-8000
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Chicopee, MA
- NPI 1023224383
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0066560 | Riverbend Medical Group Inc | Certificate of waiver | Jul 2, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Mwa PC
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
444 Montgomery St
Chicopee, MA 01020-1969
Mailing address
444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9782613 | Medicaid | MA |
Other names 1
NPPES NPI Registry- RiverBend Medical Group
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013011683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-594-3111",
"fax_number": "413-598-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-594-3111",
"fax_number": "413-598-7115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MWA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOUNSBURY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "413-789-8000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9782613",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RiverBend Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.