Organization Active NPI

United Esoterics Corp

  • Clinical Medical Laboratory
  • Woburn, MA
National Provider Identifier
1285973552
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNITED ESOTERICS CORP
Practice address
21G Olympia Ave Ste 50
Woburn, MA 01801-6328
Phone
(781) 729-1700
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Mr. Craig S Sockol, MS
Title
President
Phone
(781) 729-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

21G Olympia Ave Ste 50
Woburn, MA 01801-6328

Mailing address

21G Olympia Ave Ste 50
Woburn, MA 01801-6328
Phone (781) 729-1700

National Provider Directory

National Provider Directory

Locations

21G Olympia Ave
Ste 50
Woburn, MA 01801
Phone (781) 729-1700

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1285973552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21G OLYMPIA AVE STE 50",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016328",
            "telephone_number": "781-729-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21G OLYMPIA AVE STE 50",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016328",
            "telephone_number": "781-729-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ESOTERICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "SOCKOL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-729-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.