Boston Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BOSTON LABS

Practice address

629 Lakeland East Dr Ste D
Flowood, MS 39232-8926

Phone

(601) 307-0287

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Antanette Boston

Title

Owner

Phone

(601) 307-0287

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1457952855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 LAKELAND EAST DR STE D",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328926",
            "telephone_number": "601-307-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 LAKELAND EAST DR STE D",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328926",
            "telephone_number": "601-307-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "ANTANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-307-0287"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney M. Bond, FNP-C
• Jentry Aaron Bond, LPC
• Michael Bookhardt, M.D.
• Jennifer Graves Borum, AGACNP-BC
• Stephanie W Bostic, NP
• Christopher D. Boston, M.D.
• Averi Brookelyn Smith Botts, FNP-C
• Drew Ryan Boudreaux, PHARMD
• Angela Dawn Boyd, NP-C
• Stewart Alexander Boyd, M.D.

• Clinical Medical Laboratory in Flowood, MS
• Providers in Flowood, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.