Individual provider · NPI-1

Mutasim Mahdi Elfahal, Phd, DABCC

Pathology, Clinical Laboratory Director, Non-physician · Burlington, MA

NPI number1194632794
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1194632794
Entity type
Individual (NPI-1)
Name
Mutasim Mahdi Elfahal
Credential
Phd, DABCC
Sex
Male
Sole proprietor
No
Enumeration date
Aug 27, 2026
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician––Yes

Practice location

41 Mall Rd
Burlington, MA 01805-0002

Phone 781-744-1278 · Fax 781-744-5208

Mailing address

41 Mall Rd
Burlington, MA 01805-0002

Phone 781-744-1278

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