NPIMap

Organization Active NPI

United Esoterics

  • Clinical Medical Laboratory
  • Woburn, MA
National Provider Identifier
1972715514
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
TA11A858220030 Issued in MA
Legal business name
UNITED ESOTERICS
Practice address
18 Commerce Way Ste 4600
Woburn, MA 01801-1097
Phone
(781) 729-1700
Fax
(781) 729-1777
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Craig S Sockol, MS
Title
President
Phone
(781) 729-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X TA11A858220030 MA Primary

Addresses

Primary practice location

18 Commerce Way Ste 4600
Woburn, MA 01801-1097

Mailing address

18 Commerce Way Ste 4600
Woburn, MA 01801-1097
Phone (781) 729-1700

National Provider Directory

National Provider Directory

Locations

18 Commerce Way
Ste 4600
Woburn, MA 01801
Phone (781) 729-1700

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972715514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 COMMERCE WAY STE 4600",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011097",
            "telephone_number": "781-729-1700",
            "fax_number": "781-729-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COMMERCE WAY STE 4600",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011097",
            "telephone_number": "781-729-1700",
            "fax_number": "781-729-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ESOTERICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOCKOL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-729-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "TA11A858220030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.