Massachusetts Lab Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MASSACHUSETTS LAB INC.

Practice address

75 Holiday Dr
Englewood, OH 45322-2706

Phone

(937) 771-3012

NPI assigned

Jun 22, 2022

Organization subpart

Yes

Parent organization

EXPONENTIAL GENOMICS INC.As reported in NPPES

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

Authorized official

Name

David Preiner

Title

Ceo

Phone

(937) 771-3012

Specialties & licenses 1

Addresses

Practitioners 1

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

• Christopher Giauque, PHD

  • Specialist
  • Englewood, OH
  • NPI 1174248827
  NPD

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1083345888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLIDAY DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLIDAY DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222706",
            "telephone_number": "937-771-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS LAB INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXPONENTIAL GENOMICS INC.",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "PREINER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-771-3012"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danika Nicole Mann, LMT
• Maranatha Family Counseling, LLC
• Robert Michael Margolis, M.D.
• Irene L Marsidi, MD
• Annette Martin
• Erica Mathews, RN
• Brittany Mathias, PA
• Catherine N Mbah, RN
• MBM Behavioral Health LLC
• Janice McCoppin

• Clinical Medical Laboratory in Englewood, OH
• Providers in Englewood, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.