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
7420 REMCON CIR, SUITE J, EL PASO, TX 79912-3508
(804) 967-9225
(804) 239-1954
Mailing address
4355 INNSLAKE DR, GLEN ALLEN, VA 23060-6742
(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
—
010062811
—
VA
Enumeration date
04/09/2009
Last updated
03/29/2013
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