Convenientmd Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CONVENIENTMD LABORATORIES, LLC

Practice address

336 Abby Rd
Manchester, NH 03103-3363

Phone

(603) 319-4490

NPI assigned

Oct 10, 2025

Organization subpart

No

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

Authorized official

Name

Ray WahlNPI 1639112493

Title

Ceo

Phone

(603) 410-6700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

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

• Convenientmd LLC

  • Primary Care Clinic/Center
  • Portland, ME
  • NPI 1609694207

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ray Wahl, DPT

  • Physical Therapist
  • Newtown Square, PA
  • NPI 1639112493
  NPD Authorized official
• Kim Disini Ariyabuddhiphongs, M.D.

  • Internal Medicine Physician
  • Bellingham, MA
  • NPI 1114950821
  NPD (past)

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1740155407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-319-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 ABBY RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033363",
            "telephone_number": "603-319-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENTMD LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-410-6700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Conrad, MLADC, LCMHC
• Samantha Kelly Conroy
• Tiffany Considine, LCMHC
• Matthew R Constable, LCMHC
• Convenientmd - FFS UC LLC
• Convenientmd LLC
• Convenientmd LLC
• Nazli Ramezani Conway, M.D.
• Emily S Cook, LICSW
• Crystal Cookman, PSY.D.

• Clinical Medical Laboratory in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Medical Laboratory in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.