Organization
CORRELAGEN DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
3400 COMPUTER DR, STE 100, WESTBOROUGH, MA 01581-1771
(866) 647-0735
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22D1044516
CLIA
—
Enumeration date
02/08/2006
Last updated
01/02/2014
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