Organization
CONCORDIA HEALTH MOBILE LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNEY SIMON-PASCAL REGISTERED NURSE (OWNER)
(781) 588-0687
Entity
Organization
Contact information
Practice address
20 HOWLAND ST, BROCKTON, MA 02302-2855
(781) 588-0687
Mailing address
75 N MAIN ST, PMB #6044, RANDOLPH, MA 02368
(774) 296-8072
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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