Organization
OPENBIOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SMITH PHD (RESEARCH DIRECTOR)
(617) 575-2201
Entity
Organization
Contact information
Practice address
196 BOSTON AVE, SUITE 1000, MEDFORD, MA 02155-4236
(857) 313-8664
Mailing address
196 BOSTON AVE, SUITE 1000, MEDFORD, MA 02155-4236
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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