| NPI | 1518787258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BURKE COO/CFO 617-699-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |