Organization
COURTAGEN LIFE SCIENCES, INC.
Active
Other names
Courtagen Diagnostics Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BRIAN MCKERNAN (CEO)
(617) 892-7179
Entity
Organization
Contact information
Practice address
8 CABOT RD, SUITE 2000, WOBURN, MA 01801-1004
(877) 395-7608
(617) 249-0394
Mailing address
8 CABOT RD, SUITE 2000, WOBURN, MA 01801-1004
(877) 395-7608
(617) 249-0394
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
APPLIED FOR
MA
Other
Enumeration date
01/04/2012
Last updated
10/03/2016
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