| NPI | 1831345347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MAYYASI President 781-569-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 2783) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |