Bla of Massachusetts, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BLA OF MASSACHUSETTS, LLC

Practice address

57 Commerce Way
Woburn, MA 01801-1005

Phone

(844) 267-9674

NPI assigned

Nov 25, 2016

Last updated

Feb 23, 2018By 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

Cherian Philip

Title

Cfo

Phone

(802) 863-4105

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1861935785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COMMUNITY DR STE 2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036834",
            "telephone_number": "802-863-4105",
            "fax_number": "802-448-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 COMMERCE WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011005",
            "telephone_number": "844-267-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLA OF MASSACHUSETTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-25",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "PHILIP",
        "authorized_official_first_name": "CHERIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-863-4105"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bisconti, SLP
• Elizabeth Bishop, PTA
• Jillian Bishop
• Mary Elizabeth Bishop, RN
• Deborah Mary Bitzer, M.DIV
• Allison Black
• Kerry Ann Blanchette
• Edward Bleu
• Laura Block, PTA
• Emily Blood

• Clinical Medical Laboratory in Woburn, MA
• Providers in Woburn, 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 Feb 23, 2018; 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.