| NPI | 1891105664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW TINE Operating Manger 508-459-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 3397) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2020-10-08 |