Organization
CHILDREN'S HOSPITAL PATHOLOGY FOUNDATION, INC.
Active
Organization
CHILDREN'S HOSPITAL PATHOLOGY FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. BACI M.B.A. (DIRECTOR OF ADMINISTRATION)
(617) 355-4589
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF PATHOLOGY - BADER 138, BOSTON, MA 02115-5724
(617) 355-4589
(617) 730-0674
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF PATHOLOGY - BADER 138, BOSTON, MA 02115-5724
(617) 355-4589
(617) 730-0674
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9762396
—
MA
Enumeration date
03/21/2006
Last updated
09/24/2008
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