| NPI | 1841724895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SIMMONS Authorized Official 781-626-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 11680) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2021-05-06 |