Organization
FAMILY CARE MEDICAL CENTER LABORATORY
Active
Parent organization
URGENT CARE PHYSICIANS P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
URGENT CARE PHYSICIANS P.C.
Authorized official
MS. PATRICIA ANN DETOMAS (FINANCIAL ADMINISTRATOR)
(413) 782-6074
Entity
Organization
Contact information
Practice address
1515 ALLEN ST, SPRINGFIELD, MA 01118-1803
(414) 783-9114
(413) 782-0960
Mailing address
1515 ALLEN ST, SPRINGFIELD, MA 01118-1803
(413) 783-9114
(413) 782-0960
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2483
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M13659
BLUE CROSS/BLUE SHIELD MA
MA
Enumeration date
10/09/2007
Last updated
10/09/2007
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