Organization
BIOSERENITY DT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SHOCK (EVP CLINICAL OPERATIONS)
(214) 532-3757
Entity
Organization
Contact information
Practice address
99 ROSEWOOD DR STE 185, DANVERS, MA 01923-1300
(781) 848-9111
Mailing address
99 ROSEWOOD DR STE 245, DANVERS, MA 01923-4537
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0274
NEIGHBORHOOD HEALTH RI
MA
05
—
110087093A
—
MA
01
—
22164
BCBS OF RI
MA
01
—
2860005
AETNA HMO
MA
01
—
327004
BCBS MA TECHNICAL
MA
01
—
3400027
UNITED HEALTHCARE
MA
01
—
409503
BLUE CHIP
MA
01
—
607536
TUFTS
MA
01
—
6178
FALLON
MA
01
—
626067
HARVARD PILGRIM
MA
01
—
7618325
AETNA PPO
MA
01
—
9468
NEIGHBORHOOD HEALTH MA
MA
01
—
M16564
BCBS OF MA-PROF AND ECG
MA
01
—
P00008307
RAILROAD MEDICARE
MA
01
—
SF038169
BCBS OF MA
MA
Enumeration date
06/11/2006
Last updated
05/10/2022
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