System Coordinated Services, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2303 Issued in MA

Legal business name

SYSTEM COORDINATED SERVICES, INC

Practice address

299 Carew St
Springfield, MA 01104

Phone

(413) 748-9500

Fax

(413) 732-3349

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

James M Harris

Title

Regional Director of Reimbursement

Phone

(860) 714-4396

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Laboratories Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Mercy Hospital Inc

  • Psychiatric Hospital
  • Holyoke, MA
  • NPI 1629062906

  Member Of

  NPD member

Locations

Practitioners 5

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

• Raphael J Delima, M.D.

  • Urology Physician
  • Springfield, MA
  • NPI 1801876271
  NPD (past)
• Susan D Glover, M.D.

  • Urology Physician
  • Springfield, MA
  • NPI 1912977026
  NPD (past)
• Mohammad R. Mostafavi, M.D.

  • Urology Physician
  • Springfield, MA
  • NPI 1649240755
  NPD (past)
• Gerald Nash, MD

  • Cytopathology Physician
  • Springfield, MA
  • NPI 1952345829
  NPD (past)
• Donald Jin Sonn, M.D.

  • Urology Physician
  • Springfield, MA
  • NPI 1821078296
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1942226006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAREW STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01109",
            "telephone_number": "413-748-9500",
            "fax_number": "413-732-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-748-9500",
            "fax_number": "413-732-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEM COORDINATED SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "860-714-4396"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805157",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syeda Awais MD
• Heather Sykes, LICSW
• Symolon Optometry PLLC
• Christopher M Symolon, O.D.
• Alyssa Syniec
• Tanya Szafranski
• Dawn Szczesny, OTR
• Rachel Szlachetka
• Philip Arthur Szlosek, ATC
• Lucas Sztejfman

• Clinical Medical Laboratory in Springfield, MA
• Providers in Springfield, 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 Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.