Organization
EAST SIDE CLINICAL LABORATORY, INC.
Active
Organization
EAST SIDE CLINICAL LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN M. GREENBERG (PRESIDENT)
(516) 396-5800
Entity
Organization
Contact information
Practice address
10 RISHO AVE, EAST PROVIDENCE, RI 02914-1227
(401) 455-8400
(401) 455-8444
Mailing address
10 RISHO AVE, EAST PROVIDENCE, RI 02914-1227
(401) 455-8400
(401) 455-8444
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LCI00449
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9418005
—
RI
Enumeration date
08/13/2006
Last updated
09/30/2024
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