New England Pet Of Greater Lowell

LBN: Greater Lowell Pet Pc
New England Pet Of Greater Lowell is an health care organization with primary practice located at 295 Varnum Ave Suite 200, Lowell MA 01854-2134. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Greater Lowell Pet Pc can be contacted via phone (978) 458-9872, or through Taylor, Mark R via phone (978) 687-2321.

Contact Information

Primary practice address
295 Varnum Ave Suite 200 Lowell MA 01854-2134
Phone: (978) 458-9872
Fax: (978) 458-9876
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Mark R
Phone: (978) 687-2321

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 67-0397 Massachusetts

Profile Details

NPI number 1407802804
LBN Legal business name Greater Lowell Pet Pc
DBA Doing business as New England Pet Of Greater Lowell
Authorized official Taylor, Mark R
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Oct 31st, 2011 - about 13 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 1407802804 NPPES
Other 699024 TUFTS
Other 3184313 TUFTS
Other M18082 TUFTS
Other 0029226 TUFTS
Other 626417 TUFTS
MEDICAID 9726730 TUFTS

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