NPIMap

Organization Active NPI

Biomedical Laboratories

  • Clinical Medical Laboratory
  • Brighton, MA
National Provider Identifier
1306867981
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2427 Issued in MA
Legal business name
BIOMEDICAL LABORATORIES
Doing business as
Biomedical Laboratories
Practice address
480 Washington St
Brighton, MA 02135-2655
Phone
(617) 783-0600
Fax
(617) 783-0602
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Dr. Appu K. Pillai, PHD
Title
Director/Owner
Phone
(617) 783-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2427 MA Primary

Addresses

Primary practice location

480 Washington St
Brighton, MA 02135-2655

Mailing address

480 Washington St
Brighton, MA 02135-2655
Phone (617) 783-0600

Other identifiers 7

IdentifierTypeStateIssuer
701421OtherMDTUFTS HEALTH PLAN
9724627OtherMACIGNA
11470212OtherMACAQH
0802344MedicaidMA
228400OtherMABLUE CROSS BLUE SHIELD
0008779OtherMACHILDREN'S MEDICAL
800345OtherMAHARVARD PILGRIM

Other names 1

  • Biomedical Laboratories Doing business as

National Provider Directory

National Provider Directory

Locations

480 Washington St
Brighton, MA 02135
Phone (617) 783-0600

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1306867981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 WASHINGTON ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352655",
            "telephone_number": "617-783-0600",
            "fax_number": "617-783-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WASHINGTON ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352655",
            "telephone_number": "617-783-0600",
            "fax_number": "617-783-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMEDICAL LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "PILLAI",
        "authorized_official_first_name": "APPU",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "617-783-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "701421",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9724627",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11470212",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802344",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "228400",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MEDICAL",
            "identifier": "0008779",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "800345",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biomedical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.