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IMPACT SPORTS LAB
NPI 1922857432
Clinic/Center - Health Service in Woburn, MA

Active since May 16, 2024
220 W CUMMINGS PARK, WOBURN, MA 01801(617) 549-6296 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Impact Sports Lab NPPES

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

IMPACT SPORTS LAB (NPI 1922857432) is a healthcare organization registered as a health service in Woburn, Massachusetts and active in the NPI registry since May 2024. The organization lists Ian Carrera, Owner, as its authorized official.

NPPES Registry Identity

NPI1922857432
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameIMPACT SPORTS LAB
Location Address220 W CUMMINGS PARKWoburn, MA 01801-6346
Mailing Address220 W Cummings ParkWoburn, MA 01801-6346 · (617) 549-6296
Phone(617) 549-6296
Organization SubpartNo
Authorized OfficialIan CarreraOwner · (617) 549-6296
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1922857432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
220 W CUMMINGS PARK, Woburn, MA 01801
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Other Identifiers 1

Medicaid1285181552MA

Other Providers at the Same Location NPPES

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

DR. NICHOLAS J CALANDRA DC
Chiropractor
220 W CUMMINGS PARK
WOBURN, MA 01801
Middlesex County (781) 365-9093

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 Impact Sports Lab's NPI number?

The NPI number for Impact Sports Lab is 1922857432. It was assigned to this organization in the NPPES registry on May 16, 2024.

Where is Impact Sports Lab located?

Impact Sports Lab is located at 220 W Cummings Park, Woburn, MA 01801. The listed phone number is (617) 549-6296.

What is Impact Sports Lab's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Impact Sports Lab was last updated on May 16, 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.