Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
Sexually Transmitted Infections (STI) Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
MATTHEW COURCHENE (CHIEF FINANCIAL OFFICER)
(617) 624-5309
Entity
Organization
Contact information
Practice address
305 SOUTH ST, JAMAICA PLAIN, MA 02130-3515
(617) 983-6675
(857) 323-8352
Mailing address
305 SOUTH ST, JAMAICA PLAIN, MA 02130-3515
(617) 983-6201
(857) 323-8352
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
05/18/2026
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