TRISTAN MEDICAL ENTERPRISES PC
NPI 1174100366
Clinic/Center - Urgent Care in North Attleboro, MA

Active since March 25, 2021CLIA 22D2038686 · Waiver
465 S WASHINGTON ST, NORTH ATTLEBORO, MA 02760(508) 316-0725(508) 316-3060 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tristan Medical Enterprises Pc NPPES

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

TRISTAN MEDICAL ENTERPRISES PC (NPI 1174100366) is a healthcare organization registered as an urgent care in North Attleboro, Massachusetts and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Chanelle Marie Sae-eaw, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174100366
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameTRISTAN MEDICAL ENTERPRISES PC
Location Address465 S WASHINGTON STNorth Attleboro, MA 02760-2159
Mailing Address465 S Washington StNorth Attleboro, MA 02760-2159 · (508) 316-0725 · Fax (508) 316-3060
Fax(508) 316-3060
Organization SubpartNo
Authorized OfficialChanelle Marie Sae-eawOffice Manager · (508) 316-0725
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1174100366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
465 S WASHINGTON ST, North Attleboro, MA 02760

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2038686

Tristan Medical Enterprises, PC · North Attleboro, MA
Active · expires Mar 22, 2028
CLIA Number22D2038686
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorDerek C. Lee
Laboratory Phone(508) 316-0725
Laboratory LocationTristan Medical Enterprises, PC465 South Washington Street, North Attleboro, MA 02760
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
465 S WASHINGTON ST
NORTH ATTLEBORO, MA 02760
Family Medicine
465 S WASHINGTON ST
NORTH ATTLEBORO, MA 02760
Physician Assistant (Medical)
465 S WASHINGTON ST
NORTH ATTLEBORO, MA 02760
Physician Assistant
465 S WASHINGTON ST
NORTH ATTLEBORO, MA 02760
General Practice
465 S WASHINGTON ST
NORTH ATTLEBORO, MA 02760
Clinic/Center (Urgent Care)
465 S WASHINGTON ST
NORTH ATTLEBORO, MA 02760
Family Medicine
465 S WASHINGTON ST
NORTH ATTLEBORO, MA 02760
Nurse Practitioner (Family)
465 S WASHINGTON ST
NORTH ATTLEBORO, MA 02760

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 Tristan Medical Enterprises PC's NPI number?

The NPI number for Tristan Medical Enterprises PC is 1174100366. It was assigned to this organization in the NPPES registry on March 25, 2021.

Where is Tristan Medical Enterprises PC located?

Tristan Medical Enterprises PC is located at 465 S Washington St, North Attleboro, MA 02760. The listed phone number is (508) 316-0725.

What is Tristan Medical Enterprises PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Tristan Medical Enterprises PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2038686) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tristan Medical Enterprises PC was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.