Mycobacteriology Laboratory
Mycobacteriology Laboratory is a Clinical Medical Laboratory in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.
- Licensed in
- MA
- In the registry since
- 2007
Practice location Address checks out
305 S StBoston, MA 02130-3515
Phone: (617) 983-6907
Fax: (617) 983-6399
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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 · Licence NA (MA) |
|---|
Record details
| NPI number | 1912059908 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jill Gramer — Billing Manager · (617) 983-6907 |
| NPI enumerated | January 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 305 South St, Boston, MA 02130-3515 |
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