Medford Clinical Laboratories

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MEDFORD CLINICAL LABORATORIES

Practice address

170 Governors Ave
Medford, MA 02155-1643

Phone

(781) 306-6000

NPI assigned

Jun 30, 2009

Organization subpart

Yes

Parent organization

HALLMARK PATHOLOGY, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Constantine Pappas, M.D.

Title

President

Phone

(781) 306-6986

Specialties & licenses 1

Addresses

Part of

Hallmark Pathology

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hallmark Pathology, P.C.

  • Specialist
  • Melrose, MA
  • NPI 1467429407
  NPPES parent name

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1245468172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 BELMONT ST",
            "address_2": "SUITE 205",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "781-306-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD CLINICAL LABORATORIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALLMARK PATHOLOGY, P.C.",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-306-6986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Mason McNeer III, MD
• Eliza Schwartz Meade, MD
• Lauri Day Mederios
• Medford Adhc
• Medford Armory Dental P.C.
• Medford Dental Associates, LLC
• Medford Dental Wellness Center, PC
• Medford Endodontics, LLC
• Medford Eyecare LLC
• Medford Eyeglass Shop Inc.

• Anatomic Pathology & Clinical Pathology Physician in Medford, MA
• Providers in Medford, MA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.