Imugen Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2349 Issued in MA

Legal business name

IMUGEN INC

Practice address

315 Norwood Park S
Norwood, MA 02062-4681

Phone

(800) 246-8436

Fax

(781) 255-9923

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Victor P Berardi

Title

President

Phone

(800) 246-8436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1801810452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NORWOOD PARK S",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624681",
            "telephone_number": "800-246-8436",
            "fax_number": "781-255-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NORWOOD PARK S",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624681",
            "telephone_number": "800-246-8436",
            "fax_number": "781-255-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMUGEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-246-8436"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Huynh, DMD
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• Clinical Medical Laboratory in Norwood, MA
• Providers in Norwood, 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 Jan 29, 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.