Medford Medical Laboratory Inc.

NPI 1104802529 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1104802529
Enumeration Date 12/17/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAWRENCE LAWRENCE
Position PRESIDENT
Phone (781) 395-0518
Fax (781) 391-0040
Practice Location
0 GOVERNORS AVE
B-2
MEDFORD MA, 02155-3025, US
Phone (781) 395-0518
Fax (781) 391-0040
Business Location
0 GOVERNORS AVE
B-2
MEDFORD MA, 02155-3025, US
Phone (781) 395-0518
Fax (781) 391-0040
Toxanomy
Taxonomy Code 291U00000X
License State Massachusetts
License Number 2191
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According to our database, Medford Medical Laboratory Inc. NPI is 1104802529, taxonomy code is 291U00000X and license number is 2191, license state is located at Massachusetts. Medford Medical Laboratory Inc. physically located at 0 Governors Ave, Medford MA, 02155-3025. NPI Number 1033115704 has the healthcare provider type.

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1104802529 NPI number is provided on an as is basis without warranty of any kind. 1104802529 is maintained by the National Plan & Provider Enumeration System. The contents of Medford Medical Laboratory Inc. are for informational purposes only.