Discovery Diagnostic Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

22D20411695 Issued in MA

Legal business name

DISCOVERY DIAGNOSTIC LABORATORY INC

Practice address

186 Cedar Hill Street
Marlborough, MA 01752

Phone

(508) 857-1466

Fax

(508) 481-3089

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Steinhardt, M.D.

Title

Laboratory Director

Phone

(508) 481-3024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1669733697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CEDAR HILL STREET",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-857-1466",
            "fax_number": "508-481-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CEDAR HILL STREET",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-857-1466",
            "fax_number": "508-481-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY DIAGNOSTIC LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "STEINHARDT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "508-481-3024",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "22D20411695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Dillman
• Laura Silverman Dimmick, BCBA
• Rongjiamei Ding
• Hailey Dion
• Bethany Lynn Diorio, PTA
• Jolene Diver
• Inita Dixon
• Kelly Dixon
• Maksim Mikhail Dmitruk
• Jillian Doe

• Clinical Medical Laboratory in Marlborough, MA
• Providers in Marlborough, 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 Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.