NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY
NPI 1124037361
Physiological Laboratory in Beverly, MA

Active since August 05, 2006
75 HERRICK ST, SUITE 110 - PARKHURST MEDICAL BLDG., BEVERLY, MA 01915(978) 922-5535(978) 922-5667 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2018, Jan 12, 2016 (2 updates tracked since 2016).

About North Shore Vascular Diagnostic Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY (NPI 1124037361) is a healthcare organization registered as a physiological laboratory in Beverly, Massachusetts and active in the NPI registry since August 2006. The organization lists Randolph David Maloney, Medical Director President, as its authorized official.

NPPES Registry Identity

NPI1124037361
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameRANDOLPH D. MALONEY, M.D., PC
Location Address75 HERRICK ST, SUITE 110 - PARKHURST MEDICAL BLDG.Beverly, MA 01915-5900
Mailing Address75 Herrick St, Suite 110 - Parkhurst Medical Bldg.Beverly, MA 01915-5900 · (978) 922-5535 · Fax (978) 922-5667
Fax(978) 922-5667
Organization SubpartNo
Authorized OfficialRandolph David MaloneyMedical Director President · (978) 922-5535
Enumeration DateAugust 5, 2006
Last NPPES UpdateJune 21, 20182 updates tracked since enumeration
NPI 1124037361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
License Licensed in MA · 35297
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Also ListedRadiologic Technologist · Vascular SonographyTaxonomy 2471V0105X · License RDMS-RVT (MA)
75 HERRICK ST, Beverly, MA 01915

Other Names 1

Doing Business AsNorth Shore Vascular Diagnostic Laboratory

Other Identifiers 6

Other021569MA · Bluecross/blueshield
Other801461MA · Tufts
Other606913MA · Harvard Pilgram
Medicaid9769706MA
Other33434MA · Fallon Health
Other950000914MA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
75 HERRICK ST
BEVERLY, MA 01915
Dentist (Pediatric Dentistry)
75 HERRICK ST, SUITE 212
BEVERLY, MA 01915
Radiologic Technologist (Vascular Sonography)
75 HERRICK ST, SUITE110
BEVERLY, MA 01915
Pediatrics
75 HERRICK ST, #119 BEVERLY PEDIATRICS
BEVERLY, MA 01915
Internal Medicine (Cardiovascular Disease)
75 HERRICK ST, SUITE 206
BEVERLY, MA 01915
Plastic Surgery
75 HERRICK ST, SUITE 105
BEVERLY, MA 01915
Physician Assistant (Medical)
75 HERRICK ST
BEVERLY, MA 01915
Ophthalmology
75 HERRICK ST, SUITE 215
BEVERLY, MA 01915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph D. Maloney, M.D., PC's NPI number?

The NPI number for Randolph D. Maloney, M.D., PC is 1124037361. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is doing business as North Shore Vascular Diagnostic Laboratory.

Where is Randolph D. Maloney, M.D., PC located?

Randolph D. Maloney, M.D., PC is located at 75 Herrick St Suite 110 - Parkhurst Medical Bldg., Beverly, MA 01915. The listed phone number is (978) 922-5535.

What is Randolph D. Maloney, M.D., PC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Randolph D. Maloney, M.D., PC was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.