Organization
RHODE ISLAND DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER E ISTOMIN MD MD (LABORATORY DIRECTOR)
(401) 622-4488
Entity
Organization
Contact information
Practice address
58 MAIN ST, SUITE 201, EAST GREENWICH, RI 02818-3888
(401) 622-4488
Mailing address
58 MAIN ST, SUITE 201, EAST GREENWICH, RI 02818-3888
(401) 622-4488
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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