Organization
ADVANCED CALLOWAY LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MAYYASI (PRESIDENT)
(781) 569-6664
Entity
Organization
Contact information
Practice address
34 COMMERCE WAY, SUITE L, WOBURN, MA 01801-1074
(781) 569-6664
(781) 569-6688
Mailing address
34 COMMERCE WAY, SUITE L, WOBURN, MA 01801-1074
(781) 569-6664
(781) 569-6688
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2783
MA
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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