The Surgery Center Of Waltham

LBN: Boston Ivf, Inc.
The Surgery Center Of Waltham is an health care organization with primary practice located at 130 2Nd Ave The Surgery Center Of Waltham, Waltham MA 02451-1100. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Fertility Facility, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Boston Ivf, Inc. can be contacted via phone (781) 434-6400, or through Larkin, Derek M. via phone (781) 434-6500.

Contact Information

Primary practice address
130 2Nd Ave The Surgery Center Of Waltham Waltham MA 02451-1100
Fax: (781) 434-6497
Website:
Authorized official contact:
Name: Larkin, Derek M. JD, MBA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Fertility Facility 261QA0006X 4QLZ Massachusetts
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 4QLZ Massachusetts

Profile Details

NPI number 1497831523
LBN Legal business name Boston Ivf, Inc.
DBA Doing business as The Surgery Center Of Waltham
Authorized official Larkin, Derek M. JD, MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 31st, 2006
Last updated Aug 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497831523 NPPES
Massachusetts MEDICAID 1212524

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