NPIMap

Organization Active NPI

Wla Management, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lexington, MA
National Provider Identifier
1124579644
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
WLA MANAGEMENT, LLC
Practice address
1 Cranberry HL Ste 303
Lexington, MA 02421-7397
Phone
(617) 401-4743
Fax
(617) 249-1930
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Lisa CohenNPI 1083676431
Title
Manager
Phone
(617) 401-4743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1 Cranberry HL Ste 303
Lexington, MA 02421-7397

Mailing address

1 Cranberry HL Ste 303
Lexington, MA 02421-7397
Phone (617) 401-4743

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1124579644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HL STE 303",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217397",
            "telephone_number": "617-401-4743",
            "fax_number": "617-249-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HL STE 303",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217397",
            "telephone_number": "617-401-4743",
            "fax_number": "617-249-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-401-4743"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.