Src Services, Inc.

LBN: Src Services, Inc.
Src Services, Inc. is an health care organization with primary practice located at 63 Kendrick St , Needham MA 02494-2708. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Src Services, Inc. can be contacted via phone (781) 707-9551, or through Gould, Jonathan E. via phone (781) 707-9551.

Contact Information

Primary practice address
63 Kendrick St Needham MA 02494-2708
Phone: (781) 707-9551
Fax: (781) 707-9555
Website:
Map and Directions
Authorized official contact:
Name: Gould, Jonathan E.
Phone: (781) 707-9551

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1417077157
LBN Legal business name Src Services, Inc.
DBA Doing business as
Authorized official Gould, Jonathan E.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Apr 30th, 2010 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417077157 NPPES
Massachusetts MEDICAID 110028722B

Popular Providers