| NPI | 1386089167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD J DURANTE President 508-746-8977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 58069) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-06-25 |