| NPI | 1538478797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ANDERSON Business Operations Manager 617-636-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 241573) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2020-09-14 |