Organization Active NPI

Suburban STC LLC

  • Internal Medicine Physician
  • Lee, MA
National Provider Identifier
1922922772
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUBURBAN STC LLC
Practice address
710 Stockbridge Rd
Lee, MA 01238-9316
Phone
(413) 243-0122
Fax
(413) 243-2251
NPI assigned
Aug 5, 2026
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Laurie Mitchell
Title
Practice Manager
Phone
(413) 243-0122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

710 Stockbridge Rd
Lee, MA 01238-9316

Mailing address

710 Stockbridge Rd
Lee, MA 01238-9316
Phone (413) 243-0122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1922922772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 STOCKBRIDGE RD",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389316",
            "telephone_number": "413-243-0122",
            "fax_number": "413-243-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 STOCKBRIDGE RD",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389316",
            "telephone_number": "413-243-0122",
            "fax_number": "413-243-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN STC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "413-243-0122"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.