Organization
BOSTON LABS
Active
Organization
BOSTON LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTANETTE BOSTON (OWNER)
(601) 307-0287
Entity
Organization
Contact information
Practice address
629 LAKELAND EAST DR STE D, FLOWOOD, MS 39232-8926
(601) 307-0287
Mailing address
629 LAKELAND EAST DR STE D, FLOWOOD, MS 39232-8926
(601) 307-0287
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
04/20/2021
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