| NPI | 1902834583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUNYAMURTULA S KISHORE President 617-217-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 2306) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |