ACTIVMED PRACTICES & RESEARCH LLC NPI 1073103644

NPI Information

  • NPI: 1073103644
  • Provider Name: ACTIVMED PRACTICES & RESEARCH, LLC
  • Classification: Clinic/Center - 261QR1100X
  • Specialization: Research
  • Entity Type: Organization
  • CLIA Number: 22D0956382
  • Address: 421 MERRIMACK ST STE 203
    METHUEN, MA
    ZIP 01844
  • Phone: (978) 655-7155

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NPI Details

ACTIVMED PRACTICES & RESEARCH, LLC is a research clinic center in Methuen, MA. ACTIVMED PRACTICES & RESEARCH, LLC NPI is 1073103644. The provider is registered as an organization entity type.

The provider's business location address is:

421 MERRIMACK ST STE 203
METHUEN, MA
ZIP 01844-864
Phone: (978) 655-7155

The provider's authorized official is Terry Stubbs .
The authorized official title is Ceo and has the following contact phone number (978) 992-4522.

The CLIA number assigned to this NPI record is 22D0956382 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2021 and was last updated on 1/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1100XClinic/CenterResearchYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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