Active NPI
First-Call Medical Inc
- Physiological Laboratory
- Andover, MA
National Provider Identifier
1063403731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- FIRST-CALL MEDICAL INC
- Practice address
- 28 Andover St
Ste 200
Andover, MA 01810-4888 - Phone
- (800) 274-5399
- Fax
- (978) 670-5457
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Flanagan
- Title
- Cfo
- Phone
- (978) 670-5399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
28 Andover St
Ste 200
Andover, MA 01810-4888
Mailing address
28 Andover St
Ste 200
Andover, MA 01810-4888
Phone (800) 274-5399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0805858 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050131000506 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9931159621 | Practice locations: Andover, MA |
National Provider Directory
National Provider DirectoryLocations
28 Andover St
Ste 200
Andover, MA 01810
Phone (800) 274-5399
574 Boston Rd
Unit 11
Billerica, MA 01821
Phone (978) 670-5399
574 Boston Rd
#11C
Billerica, MA 01821
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1760482921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490832000000",
"number": "1063403731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 ANDOVER ST",
"address_2": "STE 200",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104888",
"telephone_number": "800-274-5399",
"fax_number": "978-670-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 ANDOVER ST",
"address_2": "STE 200",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104888",
"telephone_number": "800-274-5399",
"fax_number": "978-670-5457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST-CALL MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2017-03-30",
"status": "A",
"authorized_official_last_name": "FLANAGAN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "978-670-5399"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0805858",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.