{
"Npi": {
"NPI": "1801857537",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHARLES RIVER MEDICAL ASSOCIATES, PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "171 MAIN ST STE 203B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ASHLAND",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01721-1187",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-881-3029",
"MailingAddressFaxNumber": "508-881-1752",
"FirstLinePracticeLocationAddress": "39 GRANT ST STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRAMINGHAM",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01702-6775",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-665-4390",
"PracticeLocationAddressFaxNumber": "508-665-4314",
"EnumerationDate": "03/31/2006",
"LastUpdateDate": "08/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARILLO",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "508-848-2474",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "291U00000X",
"TaxonomyName": "Clinical Medical Laboratory",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}