Randolph D. Maloney, M.d., Pc, NPI 1124037361
Physiological Laboratory in Beverly, MA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1124037361 |
| NPI Entity Type | Organization |
| Provider Name |
Randolph D. Maloney, M.d., Pc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 75 Herrick St, Suite 110 - Parkhurst Medical Bldg., Beverly, MA, US |
| Provider Mailing Address | 75 Herrick St, Suite 110 - Parkhurst Medical Bldg., Beverly, MA, US, 019155900 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. M.D. Randolph David Maloney |
| Official Position | MEDICAL DIRECTOR PRESIDENT |
| Phone | 978-922-5535 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Physiological Laboratory |
| Classification | |
| Group | |
| License No. | 35297 |
| License State | MA |
| Description | A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Technologists, Technicians & Other Technical Service Providers |
RDMS-RVT | MA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 021569 | MA | BLUECROSS/BLUESHIELD | 01 |
| 801461 | MA | TUFTS | 01 |
| 9769706 | MA | MEDICAID | 05 |
| 33434 | MA | FALLON HEALTH | 01 |
| 950000914 | MA | RAILROAD MEDICARE | 01 |
| 606913 | MA | HARVARD PILGRAM | 01 |
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