NPI 1174690887

State of Rhode Island

Organisation Clinical Medical Laboratory Providence, RI

Practice location

Address: 50 Orms St, Providence, RI 02904-2222
Phone: (401) 222-5600
Fax: (401) 222-6985

Authorised official

Name: Glen Gallagher
Title: Lab Director
Phone: (401) 222-1720

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence LCI00216 (RI)

Other Clinical Medical Laboratory providers in Rhode Island →

Registry record

NPI: 1174690887
Entity type: Organization
NPI issued: 29 Nov 2006
Record last updated: 11 Oct 2023

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.