Organization
CATHOLIC MEDICAL CENTER
Active
Parent organization
CATHOLIC MEDICAL CENTER
Other names
Catholic Medical Center d/b/a New Hampshire medical Laboratories
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC MEDICAL CENTER
Authorized official
ROBERTA PROVENCAL (EXECUTIVE DIRECTOR, LABORATORY SVCS)
(603) 663-5362
Entity
Organization
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-5362
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-5362
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
30D0993032
NH
Other
Enumeration date
05/31/2013
Last updated
10/20/2020
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