Aerodiagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

001139818 Issued in MA

Legal business name

AERODIAGNOSTICS LLC

Practice address

561 Virginia Rd Ste 100
Concord, MA 01742-2732

Phone

(617) 608-3832

Fax

(617) 860-6617

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gary Michael Stapleton, MBA

Title

Founder, President & Ceo

Phone

(617) 584-8411

Specialties & licenses 1

Addresses

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

Locations

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1982010963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 VIRGINIA RD STE 100",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422732",
            "telephone_number": "617-608-3832",
            "fax_number": "617-860-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 VIRGINIA RD STE 100",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422732",
            "telephone_number": "617-608-3832",
            "fax_number": "617-860-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERODIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER, PRESIDENT & CEO",
        "authorized_official_telephone_number": "617-584-8411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "001139818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Concord, MA
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.