ACTIVMED PRACTICES & RESEARCH INC. NPI 1457624041

NPI Information

  • NPI: 1457624041
  • Provider Name: ACTIVMED PRACTICES & RESEARCH, INC.
  • Classification: Clinic/Center - 261QR1100X
  • Specialization: Research
  • Entity Type: Organization
  • CLIA Number: 30D2015751
  • Address: 421 MERRIMACK ST
    SUITE 203
    METHUEN, MA
    ZIP 01844
  • Phone: (978) 655-7155

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NPI Details

ACTIVMED PRACTICES & RESEARCH, INC. is a research clinic center in Methuen, MA. ACTIVMED PRACTICES & RESEARCH, INC. NPI is 1457624041. The provider is registered as an organization entity type.

The provider's business location address is:

421 MERRIMACK ST
SUITE 203
METHUEN, MA
ZIP 01844-864
Phone: (978) 655-7155
Fax: (978) 655-7144

The provider's authorized official is Terry Stubbs .
The authorized official title is Ma, Ccrc, Ceo and has the following contact phone number (603) 319-8863.

The CLIA number assigned to this NPI record is 30D2015751 - other - clincial research office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2012 and was last updated on 11/4/2013.

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?

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This page was last updated on: 3/30/2025

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