Liberty Testing Laboratories, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIBERTY TESTING LABORATORIES, INC

Practice address

27 Water St
Suite 213
Wakefield, MA 01880-3032

Phone

(706) 546-0200

Fax

(706) 546-6522

NPI assigned

Feb 28, 2008

Last updated

Sep 30, 2008By 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

Jerrold E Luster

Title

Owner/Managing Member

Phone

(706) 546-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1932378569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WATER ST",
            "address_2": "SUITE 213",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803032",
            "telephone_number": "706-546-0200",
            "fax_number": "706-546-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WATER ST",
            "address_2": "SUITE 213",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803032",
            "telephone_number": "706-546-0200",
            "fax_number": "706-546-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY TESTING LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "LUSTER",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "706-546-0200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Laura Lee
• Hwajoo Lee, DMD
• Seung Jae Lee, PHD,MAC.,DOM, LAC AP
• Leigh Leslie, M.S., OTR.L
• Mei-Hua Li, BCBA
• Lilachomebase
• Stephanie Lin, RPH
• Susan Lindlad, PT
• Hannah Lis
• Logistic Transportation LLC

• Clinical Medical Laboratory in Wakefield, MA
• Providers in Wakefield, 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 Sep 30, 2008; 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.