Pentucket Medical Associates Llc

LBN: Pentucket Medical Associates Llc
Pentucket Medical Associates Llc is an health care organization with primary practice located at 1 Parkway , Haverhill MA 01830-6278. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Pentucket Medical Associates Llc can be contacted via phone (978) 469-3203, or through Fazio, Thomas via phone (978) 469-5586.

Contact Information

Primary practice address
1 Parkway Haverhill MA 01830-6278
Phone: (978) 469-3203
Fax: (978) 469-5378
Website:
Map and Directions
Authorized official contact:
Name: Fazio, Thomas
Phone: (978) 469-5586

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 2469 Massachusetts

Profile Details

NPI number 1710959861
LBN Legal business name Pentucket Medical Associates Llc
DBA Doing business as
Authorized official Fazio, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 15th, 2008 - about 17 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 1710959861 NPPES
Massachusetts MEDICAID 0800147
Massachusetts Other 807895
Massachusetts Other 0034962
Massachusetts Other 018466

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