Suburban Diagnostic Labs

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

4485 Issued in MA

Legal business name

SUBURBAN DIAGNOSTIC LABS

Practice address

82 Forest St
Medford, MA 02155-3105

Phone

(781) 320-9680

Fax

(781) 329-6929

NPI assigned

Jul 17, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elia McLaughlin

Title

Ownerpresident

Phone

(781) 320-9680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548287220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020900155",
            "telephone_number": "781-320-9680",
            "fax_number": "781-329-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 FOREST ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553105",
            "telephone_number": "781-320-9680",
            "fax_number": "781-329-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN DIAGNOSTIC LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "ELIA",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "781-320-9680",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "MA",
            "license": "4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank J Stornanti Sr., RPH
• Danielle Stotts
• Norma P Strack, PTA
• Jennifer Sturtevant, LATC
• Leia Sturtevant, OTR/L
• Abbey Rose Sullivan, FNP
• Charles Sullivan, MSW, LICSW
• John P. Sullivan, MS, PHARMD, RPH
• Patricia M Sullivan, LICSW
• Tasia Supino

• Sonography Radiologic Technologist in Medford, MA
• Providers in Medford, MA by specialty
• Sonography Radiologic Technologist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.