Organization
MEDICAL DRUG TESTING LAB
Active
Organization
MEDICAL DRUG TESTING LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAUKA PATEL (ADM)
(508) 679-0010
Entity
Organization
Contact information
Practice address
427 PLYMOUTH AVE, FALL RIVER, MA 02721
(508) 679-0010
(508) 672-4679
Mailing address
427 PLYMOUTH AVE, FALL RIVER, MA 02721
(508) 679-0010
(508) 672-4679
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
2583
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819891
—
MA
Enumeration date
12/14/2006
Last updated
08/22/2020
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