22D1082215 CLIA NUMBER - MASS GENERAL IMAGING CHELSEA

Laboratory Demographics

CLIA Number: 22D1082215

Facility Name: MASS GENERAL IMAGING CHELSEA

Facility Address:
80 EVERETT AVENUE SUITE 115
CHELSEA, MA
ZIP 02150
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Facility Phone Number: 617 887-3500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982731006

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D1082215
LAB Type	Physician Office
Facility Name	MASS GENERAL IMAGING CHELSEA
Street	80 EVERETT AVENUE SUITE 115
City	CHELSEA
State	MA
ZIP	02150
Phone	617 887-3500
CertificateType	4
CertificateEffectiveDate	4/3/2024
CertificateExpirationDate	4/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024