CHILDHOOD LEAD SCREENING LABORATORY (NPI# 1053463448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053463448 |
| Entity Type | Organization |
| Organization Name | CHILDHOOD LEAD SCREENING LABORATORY |
| Practice Address |
305 South St Boston MA 02130-3515 |
| Practice Telephone | 6179836668 |
| Mailing Telephone | 6179836668 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA M JACOBSEN (BILLING MANAGER) |
| Authorized Official Telephone | 6179836668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | NA | MA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH PILGRIM HEALTH PLA | 800470 | 01 | |
| MA | 0805998 | 05 | |
| CHILDRENS MEDICAL SECURIT | 32545 | 01 | |
| 20611 | BOSTON HEALTHNET | 01 | |
| MA | BLUE CROSS OF MASS | 228421 | 01 |
| TUFTS HEALTH PLAN | 804460 | 01 |
| Street Address |
305 SOUTH ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912059908 | Mycobacteriology Laboratory | Clinical Medical Laboratory | 305 South St, Boston, MA 02130-3515 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688041 | Orig3n, Inc. | Clinical Medical Laboratory | 27 Drydock Ave Ste 3, Boston, MA 02210-2382 | 2020-04-24 |
| 1033454715 | Parabase Genomics Inc | Clinical Medical Laboratory | 27 Drydock Ave, 2nd Floor, Boston, MA 02210-2377 | 2012-12-06 |
| 1174701189 | Trustees of Boston University | Clinical Medical Laboratory | 24 Cummington St, Room 724, Boston, MA 02215-2425 | 2008-02-01 |
| 1720299357 | Oncolab, Inc | Clinical Medical Laboratory | 36 The Fenway, Boston, MA 02215-4006 | 2007-05-25 |
| 1538478797 | Tufts Medical Center | Clinical Medical Laboratory | 800 Washington St, 802, Boston, MA 02111-1552 | 2010-10-05 |
| 1295041044 | Texana Labs Inc | Clinical Medical Laboratory | 700 Albany St, Boston, MA 02118-2518 | 2010-08-30 |
| 1417157934 | Rvp | Clinical Medical Laboratory | 180 Brookline Ave, Suite 248, Boston, MA 02215-3938 | 2007-07-23 |
| 1801938014 | Trustees of Tufts University | Clinical Medical Laboratory | 1 Kneeland St, Dhs-646, Boston, MA 02111-1527 | 2007-02-13 |
| 1912059908 | Mycobacteriology Laboratory | Clinical Medical Laboratory | 305 South St, Boston, MA 02130-3515 | 2007-01-18 |
| 1437215753 | Caritas Excell Clinical Laboratories, Inc. | Clinical Medical Laboratory | 736 Cambridge St, Boston, MA 02135-2907 | 2006-12-29 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.