Organization
LAWRENCE MED LAB LLC
Active
Organization
LAWRENCE MED LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIT HAKOBYAN (OWNER)
(781) 281-1265
Entity
Organization
Contact information
Practice address
395 W CUMMINGS PARK, WOBURN, MA 01801-6335
(781) 281-1265
(781) 281-1427
Mailing address
395 W CUMMINGS PARK, WOBURN, MA 01801-6335
(781) 281-1265
(781) 281-1427
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110123106A
—
MA
Enumeration date
03/13/2017
Last updated
02/23/2018
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