Mycobacteriology Laboratory
Clinical Medical Laboratory in Boston, Massachusetts
1912059908- Practice location
- 305 South St, Boston, MA 02130-3515
- Phone
- 617-983-6907
- Fax
- 617-983-6399
- Last updated
- August 22, 2020
Mycobacteriology Laboratory is a healthcare organization based in Boston, MA. Mycobacteriology Laboratory practices in Boston, MA. The NPI Number for Mycobacteriology Laboratory is 1912059908 and holds a License No. na (MA). The current practice location address for Mycobacteriology Laboratory is 305 South St, Boston, MA 02130-3515 and can be reached out via phone at 617-983-6907 and via fax at 617-983-6399.
Provider Profile Details
- NPI Number
- 1912059908
- Provider Name
- Mycobacteriology Laboratory
- Provider Entity Type
- Organization
- Address
- 305 South St, Boston, MA 02130-3515
- Phone Number
- 617-983-6907
- Fax Number
- 617-983-6399
- Primary Taxonomy
- Clinical Medical Laboratory · 291U00000X
- Organization Subpart
- No
- Authorized Official
- Jill Gramer · Billing Manager · 617-983-6907
- Provider Enumeration Date
- January 18, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 South St
Boston, MA 02130-3515 - City
- Boston
- State
- Massachusetts
- Zip
- 02130-3515
- Phone Number
- 617-983-6907
- Fax Number
- 617-983-6399
Provider Business Mailing Address Details
- Address
- 305 South St
Boston, MA 02130-3515 - City
- Boston
- State
- MA
- Zip
- 02130-3515
- Phone Number
- 617-983-6907
- Fax Number
- 617-983-6399
License Information
- License Number
- na
- License State
- MA
- Taxonomy
- Clinical Medical Laboratory · 291U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mycobacteriology Laboratory?
The NPI number of Mycobacteriology Laboratory is 1912059908. It was assigned on January 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Mycobacteriology Laboratory?
Mycobacteriology Laboratory is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in MA under license number na.
Where does Mycobacteriology Laboratory practice?
The practice location is 305 South St, Boston, MA 02130-3515. The office can be reached at 617-983-6907 (phone) or 617-983-6399 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912059908 directly on the NPPES registry website.