CLINICAL SCIENCE LABORATORY INC. (NPI# 1124117890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124117890 |
| Entity Type | Organization |
| Organization Name | CLINICAL SCIENCE LABORATORY INC. |
| Practice Address |
51 Francis Ave Mansfield MA 02048-1511 |
| Mailing Address |
Po Box 347 Mansfield MA 02048-0347 |
| Practice Telephone | 5083396106 |
| Practice Fax Number | 5083393540 |
| Mailing Telephone | 5083396106 |
| Mailing Fax Number | 5083393540 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STANLEY G ELFBAUM (PRESIDENT) |
| Authorized Official Telephone | 5083396106 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 5488 | MA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DEPT OF HEALTH PA | 024916 | 01 |
| MA | 0802298 | 05 | |
| CLIA | 22D007402 | 01 | |
| COLLEGE AMER PATHOLOGISTS | LAP#113890 | 01 | |
| RI | DEPT OF HEALTH RI | 00180 | 01 |
| NH | DEPT OF HEALTH NH | 30004689 | 01 |
| NY | DEPT OF HEALTH NY | PFI8096 | 01 |
| Street Address |
51 FRANCIS AVE |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| 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. |
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|---|---|---|---|---|
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| 1669675559 | Apmj Inc Mobile Diagnostics | Clinical Medical Laboratory | 1401 Crestview Ln, Mansfield, TX 76063-5543 | 2007-06-07 |
| 1447814272 | Nhg Laboratory LLC | Clinical Medical Laboratory | 6970 Dick Price Rd, Mansfield, TX 76063-5288 | 2019-04-26 |
| 1962888016 | Medcentral Health System | Clinical Medical Laboratory | 335 Glessner Avenue, Mansfield, OH 44903-2269 | 2015-07-30 |
| 1003258807 | Lab One of Ohio Inc | Clinical Medical Laboratory | 480 Glessner Ave, Mansfield, OH 44903-0000 | 2013-07-22 |
| 1023306263 | Lab One of Ohio Inc | Clinical Medical Laboratory | 770 Balgreen Dr, Mansfield, OH 44906-4106 | 2011-07-20 |
| 1427364983 | Lab One of Ohio Inc | Clinical Medical Laboratory | 600 W 3rd St, Mansfield, OH 44906-2633 | 2010-08-23 |
| 1538118732 | Guthrie Medical Group, P.C. | Clinical Medical Laboratory | 63 S Main St, Mansfield, PA 16933-1501 | 2006-05-08 |
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| 1912516352 | Clinical Enterprise, Inc. | Clinical Medical Laboratory | 175 Crossing Blvd Ste 400, Framingham, MA 01702-4472 | 2020-07-30 |
| 1366069130 | Kephera Diagnostics, LLC | Clinical Medical Laboratory | 1 Grant St Ste 300, Framingham, MA 01702-6767 | 2020-06-28 |
| 1053937797 | Central Lab Partners | Clinical Medical Laboratory | 124 W Boylston St, Worcester, MA 01606-2733 | 2020-06-18 |
| 1528688041 | Orig3n, Inc. | Clinical Medical Laboratory | 27 Drydock Ave Ste 3, Boston, MA 02210-2382 | 2020-04-24 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1770047995 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 5 Neponset St Ste 1581, Worcester, MA 01606-2714 | 2019-01-23 |
| 1902390628 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 69 Camp St, Hyannis, MA 02601-3046 | 2018-06-16 |
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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.