| NPI | 1295753242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL BETZ Manager 774-843-3070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 22D1034427) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-11-22 |