Graham-Massey Analytical Labs, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CL-0484 Issued in CT

Legal business name

GRAHAM-MASSEY ANALYTICAL LABS, INC.

Practice address

60 Todd Rd
Shelton, CT 06484-5342

Phone

(203) 926-1100

Fax

(203) 944-9189

NPI assigned

Mar 6, 2007

Last updated

Jun 8, 2016By 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

Sylvia Lynn Freeman

Title

MGR of Credentialing/Enrollment

Phone

(508) 304-7602

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1932239431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 E 46TH AVE",
            "address_2": "SUITE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393107",
            "telephone_number": "855-895-8090",
            "fax_number": "303-371-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TODD RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845342",
            "telephone_number": "203-926-1100",
            "fax_number": "203-944-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM-MASSEY ANALYTICAL LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MGR OF CREDENTIALING/ENROLLMENT",
        "authorized_official_telephone_number": "508-304-7602"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL-0484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "07D0686807",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Counseling Care LLC
• Judith L Gorelick, MD
• Janice Goulet, PT
• Neal B Graber, DMD
• Grade a Shop Rite of Shelton LLC (Shoprite Pharmacy)
• Carolyn U Graham, ND
• Amy Grant
• Salvatore Graziano, D.D.S.
• Kimberly A Grebla, D.P.T.
• Alana Green, CRNA

• Clinical Medical Laboratory in Shelton, CT
• Providers in Shelton, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.