| NPI | 1396920989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LEARY Owner 781-740-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-06-02 |