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Organization

CLINIGEN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J CASARICO (CEO)
(802) 863-4105
Entity
Organization

Contact information

Practice address
150A NEW BOSTON STREET, WOBURN, MA 01801-6204
(781) 937-8888
(781) 583-5000
Mailing address
150A NEW BOSTON STREET, WOBURN, MA 01801-6204
(844) 267-9674
(781) 583-5000

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0805475
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009335
NEIGHBORHOOD HEALTH PLAN
MA
05
0805475
MA
01
228422
BC/BS
MA
01
624374
HPHC
MA
01
803635
TUFTS HEALTH PLAN
MA
01
NP0011570
BOSTON MEDICAL CENTER
MA
Enumeration date
03/23/2006
Last updated
12/28/2015
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