| NPI | 1518035963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID M. DIOUN President 508-473-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 2485) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MA 22D1040440) |
| 291U00000X Clinical Medical Laboratory (Licence: MD 1365) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2020-08-22 |