OrganizationActive
Mycobacteriology Laboratory
NPI 1912059908 · Clinical Medical Laboratory · Boston, MA
Mycobacteriology Laboratory is a Clinical Medical Laboratory organization in Boston, MA (NPI 1912059908).
Provider details
- NPI number
- 1912059908
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jill Gramer, Billing Manager(617) 983-6907
- License
- NA (MA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
305 South St
Boston, MA 02130-3515
Phone: (617) 983-6907
Fax: (617) 983-6399
Street-level locationGet directions
Mailing address
305 South St
Boston, MA 02130-3515
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mycobacteriology Laboratory's NPI number?
- Mycobacteriology Laboratory's National Provider Identifier (NPI) is 1912059908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mycobacteriology Laboratory?
- Mycobacteriology Laboratory is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Mycobacteriology Laboratory located?
- Mycobacteriology Laboratory's practice location on file with NPPES is 305 South St, Boston, MA 02130-3515.
- What is Mycobacteriology Laboratory's phone number?
- The practice phone number listed in the NPPES registry for Mycobacteriology Laboratory is (617) 983-6907.
- Who is the authorized official for Mycobacteriology Laboratory?
- The authorized official listed on Mycobacteriology Laboratory's NPPES record is Jill Gramer, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mycobacteriology Laboratory's NPI active?
- Yes — Mycobacteriology Laboratory's NPI (1912059908) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.