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Any Lab Draw Now LLC

Point of Service in Roxbury, MA. Organization (NPI-2).

NPI number1679958573
StatusActive
Last updated in NPPESJul 21, 2015

Details

NPI
1679958573
Entity type
Organization (NPI-2)
Legal business name
Any Lab Draw Now LLC
Organization subpart
No
Enumeration date
Jul 21, 2015
Last updated
Jul 21, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of Service––Yes

Practice location

64 Lambert Ave
Apt 1
Roxbury, MA 02119-1737

Phone 617-448-9698

Mailing address

64 Lambert Ave
Apt 1
Roxbury, MA 02119-1737

Phone 617-448-9698

Authorized official

Racquel Annmarie Gordon
Owner/Manager
6174489698

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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