1. Home
  2. Directory
  3. Massachusetts
  4. Brockton
  5. General Practice
  6. NPI Profile

APEX MEDICAL WELLNESS LLC
NPI 1487402335
General Practice in Brockton, MA

Active since May 07, 2024CLIA 22D2307879 · Waiver
111 TORREY ST STE 5B, BROCKTON, MA 02301(508) 969-1020(857) 702-0609 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Apex Medical Wellness Llc NPPES

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

APEX MEDICAL WELLNESS LLC (NPI 1487402335) is a healthcare organization registered as a general practice in Brockton, Massachusetts and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Kendra Lagerstedt, Practice Director, as its authorized official.

NPPES Registry Identity

NPI1487402335
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAPEX MEDICAL WELLNESS LLC
Location Address111 TORREY ST STE 5BBrockton, MA 02301-4800
Mailing Address111 Torrey St Ste 5bBrockton, MA 02301-4800 · (508) 969-1020 · Fax (857) 702-0609
Phone(508) 969-1020
Fax(857) 702-0609
Organization SubpartNo
Authorized OfficialKendra LagerstedtPractice Director · (508) 969-1020
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1487402335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
111 TORREY ST STE 5B, Brockton, MA 02301
Open in Google Maps ↗

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 22D2307879

Jill E Becker Dba Apex Medical Wellness · Marlborough, MA
Active · expires Jul 16, 2028
CLIA Number22D2307879
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorJill E. Becker
Laboratory Phone(508) 969-1020
Laboratory LocationJill E Becker Dba Apex Medical Wellness640 Bolton St., Unit 2, Marlborough, MA 01752
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Apex Medical Wellness LLC's NPI number?

The NPI number for Apex Medical Wellness LLC is 1487402335. It was assigned to this organization in the NPPES registry on May 7, 2024.

Where is Apex Medical Wellness LLC located?

Apex Medical Wellness LLC is located at 111 Torrey St Ste 5B, Brockton, MA 02301. The listed phone number is (508) 969-1020.

What is Apex Medical Wellness LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Apex Medical Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2307879) is associated with this NPI, valid through July 16, 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 Apex Medical Wellness LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.