North Shore Vascular Diagnostic Laboratory
LBN: Randolph D. Maloney, M.D., Pc
North Shore Vascular Diagnostic Laboratory is an health care organization with primary practice located at 75 Herrick St Suite 110 - Parkhurst Medical Bldg., Beverly MA 01915-5900. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Vascular Sonography, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty.
Randolph D. Maloney, M.D., Pc can be contacted via phone (978) 922-5535, or through Maloney, Randolph David via phone (978) 922-5535.
Contact Information
Primary practice address
75 Herrick St Suite 110 - Parkhurst Medical Bldg.
Beverly MA 01915-5900
Phone: (978) 922-5535
Fax: (978) 922-5667
Website:
Authorized official contact:
Name: Maloney, Randolph David Doctor of Medicine (MD)
Phone: (978) 922-5535
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Vascular Sonography | 2471V0105X | RDMS-RVT | Massachusetts |
| Laboratories / Physiological Laboratory | 293D00000X | 35297 | Massachusetts |
Profile Details
| NPI number | 1124037361 |
|---|---|
| LBN Legal business name | Randolph D. Maloney, M.D., Pc |
| DBA Doing business as | North Shore Vascular Diagnostic Laboratory |
| Authorized official | Maloney, Randolph David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jun 21st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124037361 | NPPES |
| Massachusetts | Other | 021569 | BLUECROSS/BLUESHIELD |
| Massachusetts | Other | 801461 | BLUECROSS/BLUESHIELD |
| Massachusetts | MEDICAID | 9769706 | BLUECROSS/BLUESHIELD |
| Massachusetts | Other | 33434 | BLUECROSS/BLUESHIELD |
| Massachusetts | Other | 950000914 | BLUECROSS/BLUESHIELD |
| Massachusetts | Other | 606913 | BLUECROSS/BLUESHIELD |
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