Preferred Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

3397 Issued in MA

Legal business name

PREFERRED LABORATORY LLC

Practice address

1071 Worcester Rd FL 4
Framingham, MA 01701-5247

Phone

(508) 459-2190

Fax

(508) 425-4494

NPI assigned

May 2, 2014

Organization subpart

No

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

Authorized official

Name

Andrew Tine

Title

Operating Manger

Phone

(508) 459-2190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1891105664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 WORCESTER RD FL 4",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015247",
            "telephone_number": "508-459-2190",
            "fax_number": "508-425-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 WORCESTER RD FL 4",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015247",
            "telephone_number": "508-459-2190",
            "fax_number": "508-425-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "TINE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OPERATING MANGER",
        "authorized_official_telephone_number": "508-459-2190"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "3397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Framingham, MA
• Providers in Framingham, 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 Oct 8, 2020; 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.