OrganizationActive
Lifevault Bio, Inc.
NPI 1053087585 · Clinical Medical Laboratory · Waltham, MA
Provider details
- NPI number
- 1053087585
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Trevor Perry, Ceo(800) 772-0593
Specialties & taxonomies
Laboratories
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
179 Bear Hill Rd
Waltham, MA 02451-1063
Phone: (800) 772-0593
Street-level locationGet directions
Mailing address
179 Bear Hill Rd
Waltham, MA 02451-1063
Other names (DBA / former)
- Doing business as
- Goodcell
Registry dates
- Enumerated
- 2021-08-16
- Last updated
- 2021-08-16
- Certified
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.