| NPI | 1124037361 |
|---|---|
| Doing Business As | NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH DAVID MALONEY Medical Director President 978-922-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: MA 35297) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: MA RDMS-RVT) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-06-21 |