Organization
CARITAS EXCELL CLINICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B CHESSARE MD, MPH (INTERIM PRESIDENT AND CEO CARITAS)
(617) 789-2500
Entity
Organization
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 562-7222
(617) 562-7638
Mailing address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 562-7222
(617) 562-7638
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805882
—
MA
Enumeration date
12/29/2006
Last updated
08/22/2020
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