Willow Street Medical Laboratory LLC
NPI #1366625071 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1366625071
- Entity Type
- Organization
- Organization Name
- Willow Street Medical Laboratory LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WILLOW STREET MEDICAL LABORATORY LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 17, 2007
- Last Updated
- Dec 17, 2007
Practice Location
- Address
- 200 MAIN STREET
- Address 2
- SUITE 220
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860
- Phone
- (401) 721-0970
Authorized Official
- Name
- BRIAN J STRASNICK, PHD JD
- Title
- CEO PRESIDENT
- Phone
- (781) 268-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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