Organization
CALLOWAY LABORATORIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL MARCUS (CEO)
(781) 224-9899
Entity
Organization
Contact information
Practice address
12 GILL ST, SUITE 4000, WOBURN, MA 01801-1765
(781) 224-9899
(781) 224-2423
Mailing address
12 GILL ST, SUITE 4000, WOBURN, MA 01801-1765
(781) 224-9899
(781) 224-2423
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
22D107579
MA
291U00000X
Clinical Medical Laboratory
Primary
3294
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123106
—
CT
05
—
0097098
—
NJ
05
—
0800139
—
MA
05
—
100505833
—
FL
05
—
1012456
—
VT
05
—
1012731860001
—
PA
05
—
13255371
—
CO
05
—
2555391
—
NV
05
—
2555391
—
OH
05
—
408740200
—
MD
05
—
416390000
—
ME
05
—
609588
—
NH
05
—
612379401A
—
GA
05
—
690000029
—
AL
05
—
941593
—
AZ
05
—
L00205
—
SC
Enumeration date
07/20/2006
Last updated
06/10/2014
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