Organization Active NPI

Marlborough Center for Sleep Disorders

  • Clinical Medical Laboratory
  • Marlborough, MA
National Provider Identifier
1275734535
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
47576 Issued in MA
Legal business name
MARLBOROUGH CENTER FOR SLEEP DISORDERS
Practice address
320 Bolton St
Suite 100
Marlborough, MA 01752-3980
Phone
(508) 481-4288
Fax
(508) 624-7228
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Clifford George Risk, M.D.,PH.D.
Title
Owner
Phone
(508) 481-4288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 47576 MA Primary

Addresses

Primary practice location

320 Bolton St
Suite 100
Marlborough, MA 01752-3980

Mailing address

320 Bolton St
Suite 100
Marlborough, MA 01752-3980
Phone (508) 481-4288

Other identifiers 2

IdentifierTypeStateIssuer
SF038769OtherMABLUE CROSS BLUE SHIELD
65267OtherMAHARVARD PILGRIM

National Provider Directory

National Provider Directory

Locations

320 Bolton St
Ofc 100
Marlborough, MA 01752
Phone (508) 481-4288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1275734535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "address_2": "SUITE 100",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523980",
            "telephone_number": "508-481-4288",
            "fax_number": "508-624-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "address_2": "SUITE 100",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523980",
            "telephone_number": "508-481-4288",
            "fax_number": "508-624-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBOROUGH CENTER FOR SLEEP DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "RISK",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-481-4288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "47576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "SF038769",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "65267",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.