Organization Active NPI

Give Legacy, Inc.

  • Clinical Medical Laboratory
  • Cambridge, MA
National Provider Identifier
1366068454
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GIVE LEGACY, INC.
Practice address
19 Garden St
Cambridge, MA 02138-3622
Phone
(617) 416-6024
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Khaled Kteily
Title
Ceo
Phone
(617) 416-6024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

19 Garden St
Cambridge, MA 02138-3622

Mailing address

19 Garden St
Cambridge, MA 02138-3622

National Provider Directory

National Provider Directory

Locations

22 Hudson Pl
Fl 4
Hoboken, NJ 07030
Phone (201) 238-2578

12 W 21st St
Fl 11
New York, NY 10010

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": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1366068454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GARDEN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GARDEN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383622",
            "telephone_number": "617-416-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIVE LEGACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "KTEILY",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-416-6024"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.