Organization
CARITAS MEDICAL LABORATORIES, LLC
Active
Other names
Gateway Laboratory, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B CHESSARE M.D., MPH (INTERIM PRESIDENT AND CEO CARITAS)
(617) 789-2500
Entity
Organization
Contact information
Practice address
909 SUMNER ST, STOUGHTON, MA 02072-3396
(508) 427-2356
(508) 427-2355
Mailing address
909 SUMNER ST, STOUGHTON, MA 02072-3396
(508) 427-2356
(508) 427-2355
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2585
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803855
—
MA
Enumeration date
12/19/2006
Last updated
08/22/2020
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