Active NPI
Naveris, Inc
- Clinical Medical Laboratory
- Waltham, MA
National Provider Identifier
1114544434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NAVERIS, INC
- Practice address
- 21 Hickory Dr Ste 600
Waltham, MA 02451-1034 - Phone
- (833) 628-3747
- Fax
- (978) 620-5709
- NPI assigned
- Jul 2, 2020
- 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
- Natalie Thurston, RN, MBA, CPHQ
- Title
- VP, Payer Engagement
- Phone
- (812) 207-9226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
21 Hickory Dr Ste 600
Waltham, MA 02451-1034
Mailing address
PO Box 392982
Pittsburgh, PA 15251-9900
Phone (833) 628-3747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5462 | Other | MA | MASSACHUSETTS DEPT. OF PUBLIC HEALTH DIV. OF HEALTH CARE FACILITY LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200914002330 | MA | Part B Supplier - Independent Clinical Laboratory | 0648698233 | Practice locations: Waltham, MA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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 |
|---|---|---|---|
| 22D2163166 | Naveris, Inc | Accreditation | Mar 30, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Naveris Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Durham, NC
- NPI 1740906585
Locations
21 Hickory Dr
Ste 600
Waltham, MA 02451
Phone (812) 207-9926
21 Hickory Dr
Waltham, MA 02451
35 Gatehouse Dr
Waltham, MA 02451
Phone (781) 296-4936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1114544434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392982",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519900",
"telephone_number": "833-628-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HICKORY DR STE 600",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511034",
"telephone_number": "833-628-3747",
"fax_number": "978-620-5709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVERIS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-02",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "THURSTON",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "VP, PAYER ENGAGEMENT",
"authorized_official_telephone_number": "812-207-9226",
"authorized_official_credential": "RN, MBA, CPHQ"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS DEPT. OF PUBLIC HEALTH DIV. OF HEALTH CARE FACILITY LICENSURE",
"identifier": "5462",
"state": "MA"
}
],
"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 Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.