Exosome Diagnostics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXOSOME DIAGNOSTICS, INC.

Practice address

266 2ND Ave # 200
Waltham, MA 02451-1166

Phone

(617) 588-0500

Fax

(617) 588-0580

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. William John Kelly

Title

Chief Financial Officer

Phone

(617) 588-0522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Genomic Health, Inc.

  • Clinical Medical Laboratory
  • Redwood City, CA
  • NPI 1215003603

  Member Of

  NPD member
• Mdxhealth, Inc.

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1720359698

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole E. Faulkner Castro, PH.D.

  • Clinical Molecular Genetics Physician
  • Westborough, MA
  • NPI 1164617221
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538543731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 2ND AVE # 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511166",
            "telephone_number": "617-588-0500",
            "fax_number": "617-588-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 2ND AVE # 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511166",
            "telephone_number": "617-588-0500",
            "fax_number": "617-588-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOSOME DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-588-0522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Hamilton Esposito, LPN
• Colleen Evans
• Ronald Howard Evans, EDD
• Dylan Sierra Everett
• Twyla Atherna Everett, LMT, MMP, CPT
• Zachary Adam Faas, M.A., PSY.D.
• Kristin Fabbri, LMHC
• Failla & Defrancesco Family Dentistry, LLC
• Vincent P.a. Failla, D.M.D.
• David Fair

• Clinical Medical Laboratory in Waltham, MA
• Providers in Waltham, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.