East Side Clinical Laboratory, Inc.

LBN: East Side Clinical Laboratory, Inc.
East Side Clinical Laboratory, Inc. is an health care organization with primary practice located at 10 Risho Avenue , East Providence RI 02914-1215. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. East Side Clinical Laboratory, Inc. can be contacted via phone (401) 455-8400, or through Sammarco, Gary W via phone (401) 455-8449.

Contact Information

Primary practice address
10 Risho Avenue East Providence RI 02914-1215
Phone: (401) 455-8400
Fax: (401) 455-8444
Website:
Map and Directions
Authorized official contact:
Name: Sammarco, Gary W
Phone: (401) 455-8449

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X LCI00449 Rhode Island

Profile Details

NPI number 1861404121
LBN Legal business name East Side Clinical Laboratory, Inc.
DBA Doing business as
Authorized official Sammarco, Gary W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Jan 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861404121 NPPES
Rhode Island MEDICAID 9418005

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