Organization
BOSTWICK LABORATORIES, INC,
Active
Organization
BOSTWICK LABORATORIES, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN J STEFANELLI (CEO)
(516) 512-5200
Entity
Organization
Contact information
Practice address
100 CHARLES LINDBERGH BLVD, BOSTWICK LABORATORIES, INC., UNIONDALE, NY 11553-3631
(804) 967-9225
(804) 239-1954
Mailing address
PO BOX 403751, ATLANTA, GA 30384-3751
(804) 967-9225
(804) 239-1954
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000265165
—
OH
05
—
100003869
—
WI
05
—
1009021320003
—
PA
05
—
10111299
—
AL
05
—
1013099605
—
IA
05
—
1013099605
—
UT
05
—
1013099605
—
VA
05
—
127456200
—
WY
05
—
1372021
—
LA
01
—
138056
ANTHEM BCBS OF VIRGINIA
VA
05
—
200024720D
—
OK
05
—
200931890A
—
IN
05
—
3810015664
—
WV
05
—
443513
—
AZ
05
—
7001365
—
NC
05
—
7147846
—
WA
05
—
79430881
—
CO
Enumeration date
10/20/2006
Last updated
03/28/2013
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