NPIMap

Organization Active NPI

University Pathologists Diagnostics LLC

  • Clinical Medical Laboratory
  • Somerset, MA
National Provider Identifier
1881916682
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIVERSITY PATHOLOGISTS DIAGNOSTICS LLC
Practice address
67 Slades Ferry Ave Ste 6720
Somerset, MA 02726-1220
Phone
(401) 921-0252
NPI assigned
Feb 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Jila Khorsand
Title
MD
Phone
(401) 921-0252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

67 Slades Ferry Ave Ste 6720
Somerset, MA 02726-1220

Mailing address

67 Slades Ferry Ave Ste 6720
Somerset, MA 02726-1220
Phone (401) 921-0252

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0081508University Pathologists Diagnostics, LLC67 Slades Ferry Ave, Somerset, MA 02726AccreditationSep 17, 2027

National Provider Directory

National Provider Directory

Locations

1030 President Ave
Ste 213
Fall River, MA 02720
Phone (508) 572-2802

67 Slades Ferry Ave
Ste 6720
Somerset, MA 02726
Phone (401) 921-0252

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1881916682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SLADES FERRY AVE STE 6720",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261220",
            "telephone_number": "401-921-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SLADES FERRY AVE STE 6720",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261220",
            "telephone_number": "401-921-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PATHOLOGISTS DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-20",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "KHORSAND",
        "authorized_official_first_name": "JILA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "401-921-0252"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.