Willow Street Medical Laboratory Llc in Pawtucket - Clinical Medical Laboratory
Willow Street Medical Laboratory Llc - NPI 1366625071
Willow Street Medical Laboratory Llc is a Clinical Medical Laboratory in Pawtucket, Rhode Island. Willow Street Medical Laboratory Llc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Willow Street Medical Laboratory Llc is 1366625071. The last update date is 2007-12-17.
Willow Street Medical Laboratory Llc's current location address is 200 Main Street, Pawtucket, Rhode Island. You can contact this provider via phone number 4017210970 and fax number 4017219931. The mailing address for Willow Street Medical Laboratory Llc is 200 Main Street, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Street Medical Laboratory Llc |
|---|---|
| Address | 200 Main Street, Pawtucket, Rhode Island |
| Phone Number | 4017210970 |
| Fax Number | 4017219931 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO PRESID |
|---|---|
| Authorized Official Name | Strasnick J Brian |
| Credentials | PHD JD |
| Telephone Number | 7812682400 |
NPI Number Detail
| NPI Number | 1366625071 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 200 Main Street |
|---|---|
| City | Pawtucket |
| State | Rhode Island (RI) |
| Post Code | 2860 |
| Phone Number | 4017210970 |
| Fax Number | 4017219931 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
|
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WS60052 | RI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Willow Street Medical Laboratory Llc by the Centers for Medicare & Medicaid Services?
The Willow Street Medical Laboratory Llc has been assigned the NPI (National Provider Identifier) 1366625071. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Willow Street Medical Laboratory Llc is located?
The Willow Street Medical Laboratory Llc is situated at the following address: 200 Main Street, Pawtucket, RI, 2860.
What is Willow Street Medical Laboratory Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willow Street Medical Laboratory Llc's specialized field of practice is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of specialization is 291U00000X.
On what date did the Willow Street Medical Laboratory Llc receive the assignment of its 1366625071 from the Centers for Medicare & Medicaid Services?
The Willow Street Medical Laboratory Llc was issued its 1366625071 by the Centers for Medicare & Medicaid Services on 2007-12-17.
When was the information pertaining to Willow Street Medical Laboratory Llc most recently updated or revised?
The details related to Willow Street Medical Laboratory Llc, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-17.
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