| NPI | 1255867487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN KOTWICKI Practice Administrator 781-895-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 5244) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2024-04-15 |