Active NPI
U S Lab & Radiology LLC
- Clinical Medical Laboratory
- Brockton, MA
National Provider Identifier
1659322360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009535 | Other | MA | NEIGHBORHOOD HLTH PLANS |
| 1011601 | Medicaid | VT | |
| 1659322360 | Medicaid | RI | |
| S028178 | Other | CHAMPUS - TRICARE | |
| 2433-2 | Other | RI | BLUE CROSS |
| 153720000 | Medicaid | ME | |
| 803790 | Other | TUFTS HEALTH PLANS | |
| TR0022 | Other | MA | BLUE CROSS |
| 35-00001 | Other | EVERCARE | |
| US16844 | Medicaid | RI | |
| 000000021168 | Other | BOSTON MED HLTHNET PLAN | |
| 30009485 | Medicaid | NH | |
| 3080795 | Medicaid | NH | |
| 690006929 | Other | RAILROAD MEDICARE | |
| 800498 | Other | HARVARD/PILGRIM HEALTH | |
| 110025611A | Medicaid | MA | |
| 35-00040 | Other | UNITED HEALTHCARE - NEW E | |
| 3098416 | Medicaid | CT |
Other names 2
- TridentCare
- US Labs - (US Laboratory)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 07D2030007 | US Labs Connecticut | Accreditation | Sep 30, 2026 |
| 22D0080468 | US Lab & Radiology, LLC | Accreditation | Jan 15, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- San Leandro, CA
- NPI 1134424005
Member Of
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.