Diagnostic Laboratory Medicine, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2373 Issued in MA

Legal business name

DIAGNOSTIC LABORATORY MEDICINE, INC

Practice address

14 Crosby Dr
Bedford, MA 01730-1451

Phone

(800) 582-6248

Fax

(781) 275-9689

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Musto, PHD

Title

Laboratory Director

Phone

(800) 582-6248

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1184620775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CROSBY DRIVE",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301451",
            "telephone_number": "800-582-6248",
            "fax_number": "781-275-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CROSBY DR",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301451",
            "telephone_number": "800-582-6248",
            "fax_number": "781-275-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC LABORATORY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MUSTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "800-582-6248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "25143",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "35-00071",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "800856",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE EVERCAR",
            "identifier": "34-00008",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "22-8019",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "802319",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801801",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oscar Stanton Depriest IV, D.M.D.
• Karen Ann Derosas, P.T.
• Rachel Desharnais
• Benlee Desir
• Leah Devereaux, BSN, RN
• Robert Louis Dicesare
• Denise Dickinson, MSW
• Linda V Dieudonne, MSW
• Jenny Diez, LICSW
• Michael Dilalla, RPH

• Clinical Medical Laboratory in Bedford, MA
• Providers in Bedford, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.