OrganizationActive
Southboro Medical Group, Inc
NPI 1164834750 · Specialist · Southborough, MA
Southboro Medical Group, Inc is a Specialist organization in Southborough, MA (NPI 1164834750).
Provider details
- NPI number
- 1164834750
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Heather Labossiere, Credentialing Specialist(508) 460-3297
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
24 Newton St
Southborough, MA 01772-1215
Phone: (508) 481-5500
Fax: (508) 460-3025
Street-level locationGet directions
Mailing address
24 Newton St
Southborough, MA 01772-1215
Registry dates
- Enumerated
- 2014-05-30
- Last updated
- 2014-05-30
Frequently asked questions
- What is Southboro Medical Group, Inc's NPI number?
- Southboro Medical Group, Inc's National Provider Identifier (NPI) is 1164834750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southboro Medical Group, Inc?
- Southboro Medical Group, Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southboro Medical Group, Inc located?
- Southboro Medical Group, Inc's practice location on file with NPPES is 24 Newton St, Southborough, MA 01772-1215.
- What is Southboro Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southboro Medical Group, Inc is (508) 481-5500.
- Who is the authorized official for Southboro Medical Group, Inc?
- The authorized official listed on Southboro Medical Group, Inc's NPPES record is Heather Labossiere, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southboro Medical Group, Inc's NPI active?
- Yes — Southboro Medical Group, Inc's NPI (1164834750) is active in the NPPES registry as of the last update on 2014-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.