| NPI | 1982010963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MICHAEL STAPLETON Founder, President & CEO 617-584-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 001139818) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2015-12-07 |