Medford Medical Laboratory Inc.
NPI #1104802529 in Medford, Massachusetts
Provider Information
- NPI Number
- 1104802529
- Entity Type
- Organization
- Organization Name
- Medford Medical Laboratory Inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 17, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 0 GOVERNORS AVE
- Address 2
- B-2
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-3025
- Phone
- (781) 395-0518
Authorized Official
- Name
- MR. LAWRENCE CHAPPER, MT
- Title
- PRESIDENT
- Phone
- (781) 395-0518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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