| NPI | 1912059908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL GRAMER Billing Manager 617-983-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA NA) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |