| NPI | 1861495376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE P SHEA Billing Manager 781-255-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 5563) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |