National Provider Identifier Database

RANDOLPH D MALONEY MD PC
Physiological Laboratory, (Independent Physiological Lab)

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.


Contact Information

RANDOLPH D. MALONEY, M.D., PC
75 HERRICK ST
SUITE 110 - PARKHURST MEDICAL BLDG.
BEVERLY, MA01915-5900
Phone: 978-922-5535
Fax: 978-922-5667
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Vascular Sonography Radiologic Technologist 2471V0105X

* Indicates primary specialty

NPI Profile & details for RANDOLPH D. MALONEY, M.D., PC

NPI Number 1124037361
Legal business name
LBN
RANDOLPH D. MALONEY, M.D., PC
Authorized official RANDOLPH MALONEY - (MEDICAL DIRECTOR PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/05/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 35297
  • MA License #: RDMS-RVT
  • MA Medicaid: 9769706
  • MA Other: 021569 BLUECROSS/BLUESHIELD
  • MA Other: 33434 FALLON HEALTH
  • MA Other: 606913 HARVARD PILGRAM
  • MA Other: 950000914 RAILROAD MEDICARE
  • MA Other: 801461 TUFTS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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