Whalio Doctors

NPI 1538513106

Braincare, LLC

Organisation Physiological Laboratory Boston, MA

Practice location

Address
101 Federal St STE 1900, Boston, MA 02110-1817
Phone
(866) 848-2522
Fax
(877) 290-1544
Mailing address
2670 Firewheel Dr STE B, Flower Mound, TX 75028-4601

Authorised official

Name
Janice Shock
Title
Sr Director of Operations
Phone
(866) 848-2522

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1538513106
Entity type
Organization
NPI issued
20 Apr 2016
Record last updated
20 Apr 2016

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.