Jonathan Peters D.B.a. Vermont Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

4468 Issued in VT

Legal business name

JONATHAN PETERS D.B.A. VERMONT DIAGNOSTICS

Practice address

15 Belmont Ave
Brattleboro, VT 05301-6613

Phone

(802) 257-7106

Fax

(802) 257-2270

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Peters

Title

Owner

Phone

(802) 257-7106

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1326051681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-7106",
            "fax_number": "802-257-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-7106",
            "fax_number": "802-257-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN PETERS D.B.A. VERMONT DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-257-7106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VT",
            "license": "4468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren R Jensen
• Sarah Jensen
• John R. Bookwalter, M.D. Facs PC
• Casey B Johnson, MD
• Julian Jonas, CCH, LIC AC
• Deborah L Jones, RN FNP AACRN
• Marcy E. Jones, D.C.
• Rebecca M Jones, MD
• Victoria A. Jones, MSW LICSW
• Daniel G Joseph, PA-C

• Clinical Medical Laboratory in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Clinical Medical Laboratory in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.