| NPI | 1972715514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S SOCKOL President 781-729-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA TA11A858220030) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |