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Contact Information

MEDFORD CLINICAL LABORATORIES
170 GOVERNORS AVE
MEDFORD, MA02155-1643
 Phone: 781-306-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MEDFORD CLINICAL LABORATORIES

NPI Number 1245468172
LBN Legal business name MEDFORD CLINICAL LABORATORIES
Authorized official CONSTANTINE PAPPAS - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/30/2009
Last updated 06/30/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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