Berg Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BERG DIAGNOSTICS, LLC

Practice address

12 Michigan Dr
Natick, MA 01760-1339

Phone

(617) 588-2170

Fax

(615) 872-2775

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Wyrick

Title

Chief Financial Officer

Phone

(530) 378-7646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1477840254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7672 AVIANCA DR # C-50",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960029713",
            "telephone_number": "530-378-7646",
            "fax_number": "530-243-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MICHIGAN DR",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601339",
            "telephone_number": "617-588-2170",
            "fax_number": "615-872-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERG DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "WYRICK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-378-7646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett Assessment and Behavior Center for Children, LLC
• Eric Bennett, PT
• Jillian Bennett, PH.D.
• Scott Benson
• Victoria Lynn Bentley, LMHC
• Robert Louis Berkowitz, M.D.
• Nicole Bernier
• Kristen Lynn Bernstein, NP
• Suzanne Berry, DPT
• Elizabeth M Berte

• Clinical Medical Laboratory in Natick, MA
• Providers in Natick, 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 Jun 30, 2011; 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.