Lawrence Med Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAWRENCE MED LAB LLC

Practice address

395 W Cummings Park
Woburn, MA 01801-6335

Phone

(781) 281-1265

Fax

(781) 281-1427

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Davit Hakobyan

Title

Owner

Phone

(781) 281-1265

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1477094274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W CUMMINGS PARK",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016335",
            "telephone_number": "781-281-1265",
            "fax_number": "781-281-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W CUMMINGS PARK",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016335",
            "telephone_number": "781-281-1265",
            "fax_number": "781-281-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE MED LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-281-1265"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110123106A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Erin Lapointe, LMHC
• Caitlin Lauchlan
• Renee Lauria, RPH
• Diana Lavancher, LICSW
• Karen S Lawee, LICSW
• Allison M. Lawrence, NP
• Gregory Layon
• Tony Le
• Benjamin Simon Leader, M.D., PH.D.
• Joseph B Leader, M.D.

• Clinical Medical Laboratory in Woburn, MA
• Providers in Woburn, 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 Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.