Organization
PURELINE
Active
Organization
PURELINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVORY FILMORE PHLEBOTOMIST (CEO)
(774) 622-1624
Entity
Organization
Contact information
Practice address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(774) 625-3953
Mailing address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(774) 625-3953
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
Update your record
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