Caritas Excell Clinical Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2543 Issued in MA

Legal business name

CARITAS EXCELL CLINICAL LABORATORIES, INC.

Practice address

736 Cambridge St
Boston, MA 02135-2907

Phone

(617) 562-7222

Fax

(617) 562-7638

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John B Chessare, MD, MPH

Title

Interim President and Ceo Caritas

Phone

(617) 789-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437215753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-562-7222",
            "fax_number": "617-562-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-562-7222",
            "fax_number": "617-562-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS EXCELL CLINICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHESSARE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "INTERIM PRESIDENT AND CEO CARITAS",
        "authorized_official_telephone_number": "617-789-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805882",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Carignan, CRNA
• Charles Stanwood Carignan, MD
• Caring People Ma Operating LLC
• Jeremy Carini
• Mary Angela Carini, LICSW
• Caritas Medical Group Inc. (Caritas Radiology Associates)
• Caritas Medical Group Inc. (Caritas Christi Emergency Medical Group)
• Caritas Saint Elizabeth Medical Center
• Caritas Saint Elizabeth's Medical Center
• Caritas St Elizabeth's Medical Center-Psychiatry

• Clinical Medical Laboratory in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.