Active NPI
Nanobiosym Global Initiative LLC
- Clinical Medical Laboratory
- Cambridge, MA
National Provider Identifier
1619648987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NANOBIOSYM GLOBAL INITIATIVE LLC
- Practice address
- 245 First St Ste 175
Cambridge, MA 02142-1292 - Phone
- (781) 391-7979
- NPI assigned
- Sep 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anita Goel, MD-PHD
- Title
- President
- Phone
- (617) 669-6359
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
245 First St Ste 175
Cambridge, MA 02142-1292
Mailing address
245 First St
18TH Floor - Accts Payable
Cambridge, MA 02142
Phone (617) 669-6359
Other names 1
- Nanobiosym Precision Testing Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220524001830 | MA | Part B Supplier - Independent Clinical Laboratory | 7113304544 | Practice locations: Cambridge, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2207751 | Nanobiosym Precision Testing Services | Accreditation | Mar 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
245 1st St
Ste 18
Cambridge, MA 02142
245 1st St
Ste 175
Cambridge, MA 02142
Phone (617) 669-6359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641513600000",
"number": "1619648987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 FIRST ST",
"address_2": "18TH FLOOR - ACCTS PAYABLE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02142",
"telephone_number": "617-669-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 FIRST ST STE 175",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421292",
"telephone_number": "781-391-7979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANOBIOSYM GLOBAL INITIATIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-25",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A",
"authorized_official_last_name": "GOEL",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-669-6359",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD-PHD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nanobiosym Precision Testing Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nanobiosym Precision Testing Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.