Organization
MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC
Active
Organization
MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC
Active
Other names
MGB Pathology - HMA Main Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA HAZELL (DIRECTOR, RCO PROVIDER ENROLLMENT)
(781) 254-4854
Entity
Organization
Contact information
Practice address
541 MAIN ST STE 420, SOUTH WEYMOUTH, MA 02190-1889
(781) 952-1367
Mailing address
399 REVOLUTION DR STE 580, SOMERVILLE, MA 02145-1572
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/27/2026
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