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USCG ISC BOSTON
NPI 1578648093
Clinic/Center - Military/U.S. Coast Guard Outpatient in Boston, MA

Active since October 25, 2006CLIA 22D0668153 · Waiver
427 COMMERCIAL STREET, BOSTON, MA 02109(617) 223-3121(617) 223-3038 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Uscg Isc Boston NPPES

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

USCG ISC BOSTON (NPI 1578648093) is a healthcare organization registered as a military/u.s. coast guard outpatient in Boston, Massachusetts and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Diana Rodriguez, Chief, Health Services Division, as its authorized official.

NPPES Registry Identity

NPI1578648093
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameUSCG ISC BOSTON
Location Address427 COMMERCIAL STREETBoston, MA 02109
Mailing Address427 Commercial StreetBoston, MA 02109 · (617) 223-3121 · Fax (617) 223-3038
Phone(617) 223-3121
Fax(617) 223-3038
Organization SubpartNo
Authorized OfficialDiana RodriguezChief, Health Services Division · (617) 223-3121
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578648093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
427 COMMERCIAL STREET, Boston, MA 02109
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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 22D0668153

Uscg Boston · Boston, MA
Active · expires Oct 21, 2027
CLIA Number22D0668153
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorLt Amanda G. Benson
Laboratory Phone(609) 898-6544
Laboratory LocationUscg Boston427 Commercial Street Bld 8, 3rd Deck, Boston, MA 02109
CLIA data matches this NPI record on: Address
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 Uscg Isc Boston's NPI number?

The NPI number for Uscg Isc Boston is 1578648093. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Uscg Isc Boston located?

Uscg Isc Boston is located at 427 Commercial Street, Boston, MA 02109. The listed phone number is (617) 223-3121.

What is Uscg Isc Boston's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

Does Uscg Isc Boston hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0668153) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Uscg Isc Boston was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.