| NPI | 1376006932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAB WILFONG Vice President Of Market Access 413-222-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-09-06 |