Organization Active NPI

Lab USA, Inc.

  • Clinical Medical Laboratory
  • Haverhill, MA
National Provider Identifier
1841332780
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2951 Issued in MA
Legal business name
LAB USA, INC.
Practice address
108 R Merrimack St
Haverhill, MA 01830
Phone
(978) 556-0533
Fax
(978) 556-0534
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mr. Mohammad Farooq Afreedi, M.S., M.S.
Title
Ceo and President
Phone
(978) 556-0533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2951 MA Primary

Addresses

Primary practice location

108 R Merrimack St
Haverhill, MA 01830

Mailing address

108 R Merrimack Street
Haverhill, MA 01830
Phone (978) 556-0533

Other identifiers 2

IdentifierTypeStateIssuer
0817015MedicaidMA
30803970MedicaidNH

National Provider Directory

National Provider Directory

Locations

108 Merrimack St
Frnt R
Haverhill, MA 01830
Phone (978) 556-0533

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1841332780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 R MERRIMACK STREET",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-556-0533",
            "fax_number": "978-556-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 R MERRIMACK ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-556-0533",
            "fax_number": "978-556-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB USA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "AFREEDI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "FAROOQ",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "978-556-0533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., M.S."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0817015",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30803970",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.