Organization
ONCOLAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL BOGOCH MD, PHD (DIRECTOR)
(617) 536-0850
Entity
Organization
Contact information
Practice address
36 THE FENWAY, BOSTON, MA 02215-4006
(617) 536-0850
(617) 536-0657
Mailing address
36 THE FENWAY, BOSTON, MA 02215-4006
(617) 536-0850
(617) 536-0657
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
22D0650367
MA
Other
Enumeration date
05/25/2007
Last updated
11/20/2008
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