Ocean State Lab LLC
NPI #1477899649 in Lincoln, Rhode Island
Provider Information
- NPI Number
- 1477899649
- Entity Type
- Organization
- Organization Name
- Ocean State Lab LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 17, 2012
- Last Updated
- Apr 16, 2013
Practice Location
- Address
- 1525 OLD LOUISQUISSET PIKE
- Address 2
- SUITE 103
- City
- Lincoln
- State
- Rhode Island
- ZIP Code
- 02865-4503
- Phone
- (401) 305-7245
Authorized Official
- Name
- MR. MOUSTAFA MOATAZ ABOSHADY
- Title
- SOLE MBR
- Phone
- (401) 305-7245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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