MLC Pathology, Inc.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MLC PATHOLOGY, INC.

Practice address

6 Angier Rd
Lexington, MA 02420-1609

Phone

(781) 861-9649

Fax

(781) 863-8031

NPI assigned

Apr 27, 2006

Last updated

Jan 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manlio (Leo) Augustus Loconte, M.D., MPH, FCAP

Title

President

Phone

(781) 861-9649

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• leo lo conte Other name

Practitioners 2

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.

• John Perry, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Cambridge, MA
  • NPI 1962662874
  NPD (past)
• Puay Eng Tan, M.D., FRCPATH (UK)

  • Anatomic Pathology & Clinical Pathology Physician
  • Lowell, MA
  • NPI 1235196460
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1275590994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ANGIER RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201609",
            "telephone_number": "781-861-9649",
            "fax_number": "781-863-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ANGIER RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201609",
            "telephone_number": "781-861-9649",
            "fax_number": "781-863-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLC PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "LOCONTE",
        "authorized_official_first_name": "MANLIO (LEO)",
        "authorized_official_middle_name": "AUGUSTUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-861-9649",
        "authorized_official_credential": "M.D., MPH, FCAP"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9782737",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP",
            "identifier": "102055200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "22D0650118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA4871",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M16670",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "612830",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "leo lo conte",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Divya Mirani
• Monique Mitchell
• Kathleen Modderno, LICSW
• Shelley Elaine Moeller, LICSW
• Kasey Moffat, FNP
• Debra Dianne Martin Moffitt, M.ED. BCBA
• Sasha Mohammadi, DDS, MS

• Anatomic Pathology & Clinical Pathology Physician in Lexington, MA
• Providers in Lexington, 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 Jan 13, 2012; 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.