Organization
BLA OF MASSACHUSETTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIAN PHILIP (CFO)
(802) 863-4105
Entity
Organization
Contact information
Practice address
57 COMMERCE WAY, WOBURN, MA 01801-1005
(844) 267-9674
Mailing address
30 COMMUNITY DR STE 2, SOUTH BURLINGTON, VT 05403-6834
(802) 863-4105
(802) 448-3196
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/25/2016
Last updated
02/23/2018
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