NPI 1053463448

The Commonwealth of Massachusetts

Organisation Clinical Medical Laboratory Boston, MA

Practice location

Address: 305 South St, Boston, MA 02130-3515
Phone: (617) 983-6668

Authorised official

Name: Matthew Courchene
Title: Chief Financial Officer
Phone: (617) 624-5309

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence NA (MA)

Other Clinical Medical Laboratory providers in Massachusetts →

Registry record

NPI: 1053463448
Entity type: Organization
NPI issued: 17 Jan 2007
Record last updated: 18 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.