Organization
FAULKNER MEDICAL LABORATORIES, INC.
Active
Organization
FAULKNER MEDICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DISOUNGH TIMMONS (MANAGER)
(781) 322-8502
Entity
Organization
Contact information
Practice address
410 FERRY ST, MALDEN, MA 02148-7809
(781) 322-8502
(781) 322-8032
Mailing address
410 FERRY ST, MALDEN, MA 02148-7809
(781) 322-8502
(781) 322-8032
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2432
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000021296
BMC HEALTH NET
MA
05
—
0800368
—
MA
01
—
228021
BLUE CROSS & BLUE SHIELD
MA
01
—
801323
SECURE HORIZONS
MA
Enumeration date
07/14/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up