Organization
CLARITAS GENOMICS , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELLEN CORTIZAS (CHIEF OPERATING OFFICER)
(617) 553-5805
Entity
Organization
Contact information
Practice address
99 ERIE ST, SUITE A, CAMBRIDGE, MA 02139-4559
(617) 553-5800
(617) 553-5842
Mailing address
99 ERIE ST, SUITE A, CAMBRIDGE, MA 02139-4559
(617) 553-5800
(617) 553-5842
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22D0950490
CLIA
MA
Enumeration date
03/05/2015
Last updated
03/05/2015
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