Organization
CLINICAL SCIENCE LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY G ELFBAUM PH.D (PRESIDENT)
(508) 339-6106
Entity
Organization
Contact information
Practice address
51 FRANCIS AVE, MANSFIELD, MA 02048-1511
(508) 339-6106
(508) 339-3540
Mailing address
PO BOX 347, MANSFIELD, MA 02048-0347
(508) 339-6106
(508) 339-3540
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
5488
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00180
DEPT OF HEALTH RI
RI
01
—
024916
DEPT OF HEALTH PA
PA
05
—
0802298
—
MA
01
—
22D007402
CLIA
—
01
—
30004689
DEPT OF HEALTH NH
NH
01
—
LAP#113890
COLLEGE AMER PATHOLOGISTS
—
01
—
PFI8096
DEPT OF HEALTH NY
NY
Enumeration date
10/12/2006
Last updated
08/22/2020
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