Organization
SYSTEM COORDINATED SERVICES, INC
Active
Other names
Life Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M HARRIS (REGIONAL DIRECTOR OF REIMBURSEMENT)
(860) 714-4396
Entity
Organization
Contact information
Practice address
299 CAREW ST, SPRINGFIELD, MA 01104
(413) 748-9500
(413) 732-3349
Mailing address
299 CAREW STREET, SPRINGFIELD, MA 01109
(413) 748-9500
(413) 732-3349
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2303
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805157
—
MA
Enumeration date
07/14/2006
Last updated
04/12/2019
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