Organization
LIBERTY TESTING LABORATORIES, INC
Active
Organization
LIBERTY TESTING LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROLD E LUSTER (OWNER/MANAGING MEMBER)
(706) 546-0200
Entity
Organization
Contact information
Practice address
27 WATER ST, SUITE 213, WAKEFIELD, MA 01880-3032
(706) 546-0200
(706) 546-6522
Mailing address
27 WATER ST, SUITE 213, WAKEFIELD, MA 01880-3032
(706) 546-0200
(706) 546-6522
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
09/30/2008
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