Organization
LABORATORY FOR CLINICAL MEDICINE
Active
Organization
LABORATORY FOR CLINICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MICHAEL MCNICHOLAS (ADMINISTRATIVE DIRECTOR)
(978) 535-3317
Entity
Organization
Contact information
Practice address
200 CORPORATE PL, SUITE #7, PEABODY, MA 01960-3840
(978) 535-3317
(978) 535-1934
Mailing address
200 CORPORATE PL, SUITE #7, PEABODY, MA 01960-3840
(978) 535-3317
(978) 535-1934
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2404
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803685
—
MA
01
—
800523
HARVARD PILGRIM PROVIDER
MA
01
—
804004
TUFTS PROVIDER #
MA
01
—
LA228184
BLUE CROSS PROVIDER #
MA
Enumeration date
04/03/2007
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