Perinatal Diagnostix, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

80677 Issued in MA

Legal business name

PERINATAL DIAGNOSTIX, LLC

Practice address

167 Belcher Dr
Sudbury, MA 01776-1278

Phone

(978) 579-9496

Fax

(978) 579-9496

NPI assigned

Jun 7, 2011

Last updated

Jun 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Achilles Mario Athanassiou, MD

Title

Owner

Phone

(978) 579-9496

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1386938413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 BELCHER DR",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761278",
            "telephone_number": "978-579-9496",
            "fax_number": "978-579-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 BELCHER DR",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761278",
            "telephone_number": "978-579-9496",
            "fax_number": "978-579-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL DIAGNOSTIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "ATHANASSIOU",
        "authorized_official_first_name": "ACHILLES",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-579-9496",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "80677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3167470",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valentina Pasquantonio, DDS
• Paul Kang, DMD, P.C.
• Paula Jo Carbone M.D.,P.C.
• Barbara M. Pedulla, PH.D.
• Margaret B Peppercorn, M.D.
• Dominique Perla
• Natalya Perlov, PT
• Sabina Lilah Pestka
• Nina Pham
• Emily Phillips, LICSW

• Specialist in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.