Active NPI
Boston Road Laboratory Inc
- Clinical Medical Laboratory
- Worcester, MA
National Provider Identifier
1235209552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 2423
- Legal business name
- BOSTON ROAD LABORATORY INC
- Practice address
- 500 West Boylston Street
Worcester, MA 01606-2058 - Phone
- (508) 856-9120
- Fax
- (508) 856-9850
- NPI assigned
- Nov 8, 2006
- 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
- Ms. Jean M Klaiber
- Title
- President
- Phone
- (508) 856-9120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 2423 | MA | Primary |
Addresses
Primary practice location
500 West Boylston Street
Worcester, MA 01606-2058
Mailing address
500 West Boylston Street
Worcester, MA 01606-2058
Phone (508) 856-9120
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235209552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WEST BOYLSTON STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062058",
"telephone_number": "508-856-9120",
"fax_number": "508-856-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WEST BOYLSTON STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062058",
"telephone_number": "508-856-9120",
"fax_number": "508-856-9850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON ROAD LABORATORY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLAIBER",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-856-9120",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MA",
"license": "2423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.