Organization Active NPI

Olaris, Inc.

  • Clinical Medical Laboratory
  • Framingham, MA
National Provider Identifier
1518787258
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OLARIS, INC.
Practice address
175 Crossing Blvd Ste 410
Framingham, MA 01702-4476
Phone
(617) 699-5482
Fax
(774) 256-9348
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Thomas Burke, MBA,CPA
Title
Coo/Cfo
Phone
(617) 699-5482

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

175 Crossing Blvd Ste 410
Framingham, MA 01702-4476

Mailing address

175 Crossing Blvd Ste 410
Framingham, MA 01702-4476
Phone (617) 699-5482

Other identifiers 1

IdentifierTypeStateIssuer
22D2303327OtherMACLIA CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250110000410 MA Part B Supplier - Independent Clinical Laboratory 8527596139 Practice locations: Framingham, MA

National Provider Directory

National Provider Directory

Locations

175 Crossing Blvd
Ste 410
Framingham, MA 01702
Phone (617) 203-8242

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1518787258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CROSSING BLVD STE 410",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017024476",
            "telephone_number": "617-699-5482",
            "fax_number": "774-256-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CROSSING BLVD STE 410",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017024476",
            "telephone_number": "617-699-5482",
            "fax_number": "774-256-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLARIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "617-699-5482",
        "authorized_official_credential": "MBA,CPA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATION",
            "identifier": "22D2303327",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.