| NPI | 1750835278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JOSEPH KALLUPURA President/CEO 781-864-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2097893) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |