| NPI | 1144590449 |
|---|---|
| Doing Business As | COURTAGEN DIAGNOSTICS LABORATORY |
| Entity Type | Organization |
| Authorized Contact | RICHARD BRIAN MCKERNAN CEO 617-892-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA Applied for) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2016-10-03 |