Organization
U S LAB & RADIOLOGY LLC
Active
Other names
US Labs - (US Laboratory), TridentCare
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(443) 662-4101
Entity
Organization
Contact information
Practice address
2 JONATHAN DR, BROCKTON, MA 02301-5549
(508) 583-2000
(438) 427-2644
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(800) 786-8015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
2253
MA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021168
BOSTON MED HLTHNET PLAN
—
01
—
0009535
NEIGHBORHOOD HLTH PLANS
MA
05
—
1011601
—
VT
05
—
110025611A
—
MA
05
—
153720000
—
ME
05
—
1659322360
—
RI
01
—
2433-2
BLUE CROSS
RI
05
—
30009485
—
NH
05
—
3080795
—
NH
05
—
3098416
—
CT
01
—
35-00001
EVERCARE
—
01
—
35-00040
UNITED HEALTHCARE - NEW E
—
01
—
690006929
RAILROAD MEDICARE
—
01
—
800498
HARVARD/PILGRIM HEALTH
—
01
—
803790
TUFTS HEALTH PLANS
—
01
—
S028178
CHAMPUS - TRICARE
—
01
—
TR0022
BLUE CROSS
MA
05
—
US16844
—
RI
Enumeration date
05/15/2006
Last updated
03/11/2026
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