Active NPI
Prime Medical Associates LLC
- Clinical Medical Laboratory
- New Bedford, MA
National Provider Identifier
1861786451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PRIME MEDICAL ASSOCIATES LLC
- Practice address
- 54 Brigham St
New Bedford, MA 02740-2208 - Phone
- (508) 979-1100
- Fax
- (508) 979-1918
- NPI assigned
- Jun 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arun Rajan, M.D.
- Title
- Physician
- Phone
- (508) 993-9760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
54 Brigham St
New Bedford, MA 02740-2208
Mailing address
237A State Rd
N Dartmouth, MA 02747-2612
Phone (508) 979-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110909002574 | MA | Part B Supplier - Independent Clinical Laboratory | 0446376487 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: North Dartmouth, MA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Geriatric Medicine (Internal Medicine) Physician
- North Dartmouth, MA
- NPI 1316261993
O20110909002574
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695859200000",
"number": "1861786451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237A STATE RD",
"city": "N DARTMOUTH",
"state": "MA",
"postal_code": "027472612",
"telephone_number": "508-979-1100",
"fax_number": "508-979-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 BRIGHAM ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402208",
"telephone_number": "508-979-1100",
"fax_number": "508-979-1918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME MEDICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-01",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A",
"authorized_official_last_name": "RAJAN",
"authorized_official_first_name": "ARUN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "508-993-9760",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.