Northeastern Reproductive Medicine Laboratories PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

47D2079212 Issued in VT

Legal business name

NORTHEASTERN REPRODUCTIVE MEDICINE LABORATORIES PLLC

Practice address

105 Westview Rd
Suite 302
Colchester, VT 05446-8025

Phone

(802) 655-8888

Fax

(802) 985-2566

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Peter R. Casson, MDNPI 1295741965

Title

Authorized Rep/Owner

Phone

(802) 655-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Raymond Casson, MD

  • Obstetrics & Gynecology Physician
  • Colchester, VT
  • NPI 1295741965
  NPD (past) Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1427458124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTVIEW RD",
            "address_2": "SUITE 302",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468025",
            "telephone_number": "802-655-8888",
            "fax_number": "802-985-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTVIEW RD",
            "address_2": "SUITE 302",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468025",
            "telephone_number": "802-655-8888",
            "fax_number": "802-985-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN REPRODUCTIVE MEDICINE LABORATORIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "CASSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "802-655-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VT",
            "license": "47D2079212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023974",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New England Forensic Assessment
• Damon Nguyen
• Claude Nichols, M.D.
• Niles Smiles Dental, PLLC
• Nomadvax LLC
• Northeastern Reproductive Medicine PLLC
• Mary Ellen O'Brien, PT
• Kristine O'Malley, OTR/L
• Omni Measurement Systems, Inc
• Charles Osler, N.P.

• All providers in Colchester, VT
• Clinical Medical Laboratory in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.