State of Rhode Island
NPI #1174690887 in Providence, Rhode Island
Provider Information
- NPI Number
- 1174690887
- Entity Type
- Organization
- Organization Name
- State of Rhode Island
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Oct 11, 2023
Practice Location
- Address
- 50 ORMS ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02904-2222
- Phone
- (401) 222-5600
Authorized Official
- Name
- GLEN GALLAGHER, PHD
- Title
- LAB DIRECTOR
- Phone
- (401) 222-1720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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