Organization Active NPI

Lawrence Health Solutions, LLC

  • Primary Care Clinic/Center
  • Lawrence, MA
National Provider Identifier
1407385834
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LAWRENCE HEALTH SOLUTIONS, LLC
Practice address
25 Marston St.
Suite 105
Lawrence, MA 01841
Phone
(978) 258-1057
Fax
(978) 258-1520
NPI assigned
Jun 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Vidal Primiterio, PANPI 1861472987
Title
Manager
Phone
(978) 258-1057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

25 Marston St.
Suite 105
Lawrence, MA 01841

Mailing address

25 Marston St Apt 105
Lawrence, MA 01841-2356
Phone (978) 258-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180219001844 MA Part B Supplier - Clinic/Group Practice 9032481072 Receives reassigned benefits from 5 practitioners
Practice locations: Lawrence, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2055585Lawrence Health Solutions LLC25 Marston Street, Lawrence, MA 01841Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407385834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST APT 105",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412356",
            "telephone_number": "978-258-1057",
            "fax_number": "978-258-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST.",
            "address_2": "SUITE 105",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01841",
            "telephone_number": "978-258-1057",
            "fax_number": "978-258-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PRIMITERIO",
        "authorized_official_first_name": "VIDAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-258-1057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.