Healthcare Provider Details

I. General information

NPI: 1790351880
Provider Name (Legal Business Name): AUTO-MATIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2021
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 CLARKE ST STE B5
LEXINGTON MA
02421-4938
US

IV. Provider business mailing address

PO BOX 224
WESTON MA
02493-0001
US

V. Phone/Fax

Practice location:
  • Phone: 978-207-1000
  • Fax:
Mailing address:
  • Phone: 978-207-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: THOMAS S NOLAN JR.
Title or Position: PRESIDENT
Credential:
Phone: 978-207-1000