Organization
BIOMEDICAL LABORATORIES
Active
Other names
Biomedical Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. APPU K. PILLAI PHD (DIRECTOR/OWNER)
(617) 783-0600
Entity
Organization
Contact information
Practice address
480 WASHINGTON ST, BRIGHTON, MA 02135-2655
(617) 783-0600
(617) 783-0602
Mailing address
480 WASHINGTON ST, BRIGHTON, MA 02135-2655
(617) 783-0600
(617) 783-0602
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2427
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008779
CHILDREN'S MEDICAL
MA
05
—
0802344
—
MA
01
—
11470212
CAQH
MA
01
—
228400
BLUE CROSS BLUE SHIELD
MA
01
—
701421
TUFTS HEALTH PLAN
MD
01
—
800345
HARVARD PILGRIM
MA
01
—
9724627
CIGNA
MA
Enumeration date
07/21/2006
Last updated
07/01/2009
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