Organization
DIAGNOSTIC LABORATORY MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MUSTO PHD (LABORATORY DIRECTOR)
(800) 582-6248
Entity
Organization
Contact information
Practice address
14 CROSBY DR, BEDFORD, MA 01730-1451
(800) 582-6248
(781) 275-9689
Mailing address
14 CROSBY DRIVE, BEDFORD, MA 01730-1451
(800) 582-6248
(781) 275-9689
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2373
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801801
—
MA
01
—
22-8019
BLUE CROSS
MA
01
—
25143
FALLON
MA
01
—
34-00008
UNITED HEALTHCARE EVERCAR
TX
01
—
35-00071
UNITED HEALTHCARE
TX
01
—
800856
HARVARD PILGRIM
MA
01
—
802319
TUFTS
MA
Enumeration date
06/28/2005
Last updated
07/12/2007
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