Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Masonic Medical Research Laboratory

Organization Clinical Medical Laboratory · NPI 1508451527

Masonic Medical Research Laboratory is a Clinical Medical Laboratory in Utica, New York. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2150 Bleecker St
Utica, NY 13501-1738
Phone: (315) 735-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1508451527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Bartkowiak — Director Of Administration · (315) 624-7487
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address2150 Bleecker St, Utica, NY 13501-1738

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