| NPI | 1902094568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN DETOMAS Financial Administrator 413-782-6074 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 2483) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |