Organization Active NPI

Laboratory for Stone Research

  • Clinical Medical Laboratory
  • Newton, MA
National Provider Identifier
1770616534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
5278 Issued in MA
Legal business name
LABORATORY FOR STONE RESEARCH
Practice address
81 Wyman Street
Newton, MA 02468
Phone
(617) 244-2516
Fax
(617) 244-2515
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edwin L Prien Jr., MD
Title
Director
Phone
(617) 244-2516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 5278 MA Primary

Addresses

Primary practice location

81 Wyman Street
Newton, MA 02468

Mailing address

PO Box 129
81 Wyman Street
Newton, MA 02468
Phone (617) 244-2516

National Provider Directory

National Provider Directory

Locations

81 Wyman St
Waban, MA 02468
Phone (617) 244-2516

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770616534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "address_2": "81 WYMAN STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02468",
            "telephone_number": "617-244-2516",
            "fax_number": "617-244-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WYMAN STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02468",
            "telephone_number": "617-244-2516",
            "fax_number": "617-244-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY FOR STONE RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIEN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-244-2516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.