| NPI | 1174827745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE DAVIS Manager 781-278-5512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 2881) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |