Organization Active NPI

U S Lab & Radiology LLC

  • Clinical Medical Laboratory
  • Brockton, MA
National Provider Identifier
1659322360
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
U S LAB & RADIOLOGY LLC
Practice address
2 Jonathan Dr
Brockton, MA 02301-5549
Phone
(508) 583-2000
Fax
(438) 427-2644
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Brian C Cuomo
Title
Authorized Official/Cfo
Phone
(443) 662-4101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2253 MA
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2 Jonathan Dr
Brockton, MA 02301-5549

Mailing address

215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Phone (800) 786-8015

Other practice location 1

460 Smith St Ste A
Middletown, CT 06457-1594
Phone (800) 786-8015

Other identifiers 18

IdentifierTypeStateIssuer
0009535OtherMANEIGHBORHOOD HLTH PLANS
1011601MedicaidVT
1659322360MedicaidRI
S028178OtherCHAMPUS - TRICARE
2433-2OtherRIBLUE CROSS
153720000MedicaidME
803790OtherTUFTS HEALTH PLANS
TR0022OtherMABLUE CROSS
35-00001OtherEVERCARE
US16844MedicaidRI
000000021168OtherBOSTON MED HLTHNET PLAN
30009485MedicaidNH
3080795MedicaidNH
690006929OtherRAILROAD MEDICARE
800498OtherHARVARD/PILGRIM HEALTH
110025611AMedicaidMA
35-00040OtherUNITED HEALTHCARE - NEW E
3098416MedicaidCT

Other names 2

  • TridentCare Doing business as
  • US Labs - (US Laboratory) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070618000138 MA Part B Supplier - Independent Clinical Laboratory 6103837448 Practice locations: Brockton, MA
O20120126000236 CT Part B Supplier - Independent Clinical Laboratory 6103837448 Practice locations: Middletown, CT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2030007US Labs Connecticut460 Smith Street, Middletown, CT 06457AccreditationSep 30, 2026
22D0080468US Lab & Radiology, LLC2 Jonathan Dr, Brockton, MA 02301AccreditationJan 15, 2027

National Provider Directory

National Provider Directory

Member of 2

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

Locations

361 Whitney Ave
#102
Holyoke, MA 01040
Phone (413) 420-4461

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1659322360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 114",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311113",
            "telephone_number": "800-786-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JONATHAN DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015549",
            "telephone_number": "508-583-2000",
            "fax_number": "438-427-2644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Smith St Ste A",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064571594",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "U S LAB & RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/CFO",
        "authorized_official_telephone_number": "443-662-4101"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2253",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HLTH PLANS",
            "identifier": "0009535",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011601",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659322360",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS - TRICARE",
            "identifier": "S028178",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2433-2",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153720000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "803790",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "TR0022",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "35-00001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "US16844",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MED HLTHNET PLAN",
            "identifier": "000000021168",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009485",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080795",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "690006929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD/PILGRIM HEALTH",
            "identifier": "800498",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110025611A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE - NEW E",
            "identifier": "35-00040",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098416",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TridentCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Labs - (US Laboratory)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Labs - (US Laboratory)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.