Boston Clinical Laboratory
Specialist in Norwood, MA. Organization (NPI-2).
NPI number1922076447
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1922076447
- Entity type
- Organization (NPI-2)
- Legal business name
- Boston Clinical Laboratory
- Organization subpart
- No
- Enumeration date
- Mar 10, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 39080 | MA | Yes |
Practice location
100 River Ridge DrNorwood, MA 02062-5030
Phone 781-255-0555 · Fax 781-255-0594
Mailing address
100 River Ridge DrNorwood, MA 02062-5030
Phone 781-255-0555 · Fax 781-255-0594
Authorized official
Diane Shea
Manager
7812550555
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