| NPI | 1720299357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BOGOCH Director 617-536-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 22D0650367) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-11-20 |