Organization
CLINIGEN, INC.
Active
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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