Kbmo Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KBMO DIAGNOSTICS, LLC

Practice address

1A Business Way
Hopedale, MA 01747-1541

Phone

(781) 534-2498

NPI assigned

Jun 30, 2015

Last updated

Jun 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James N White

Title

Owner

Phone

(781) 534-2498

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1801279559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DEPOT ST",
            "address_2": "2156",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023317098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A BUSINESS WAY",
            "city": "HOPEDALE",
            "state": "MA",
            "postal_code": "017471541",
            "telephone_number": "781-534-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBMO DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-534-2498"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Alan Hardenbrook, MD
• Hopedale Public Schools
• Katie R Hughes
• April Lillian Izzi, MSED CCC-SLP
• Deirdre L. Kathman, D.O.
• Shahzad Wahed Khan, M.D.
• Joan E. Knowlton, OTR/L
• Jayalekshmy B. Kumar, M.D.
• Emily Nicole Labrie, OT, OTD, OTR
• Daniel Thanh Lam, DMD

• Clinical Medical Laboratory in Hopedale, MA
• Providers in Hopedale, 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 Jun 30, 2015; 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.