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NPI Code Detail

MEDICARE: WINCHESTER LABORATORY ASSOCIATES INC

MEDICARE: WINCHESTER LABORATORY ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013906650
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINCHESTER LABORATORY ASSOCIATES INC
Provider Business Mailing Address
First Line : PO BOX 532283
Second Line :
City : ATLANTA
State : GA
Zip : 30353-2283
Country : US
Telephone Number : 800-325-7284
Fax Number : 205-579-9387
Provider Business Practice Location Address
First Line : 41 HIGHLAND AVE
Second Line : WINCHESTER HOSPITAL
City : WINCHESTER
State : MA
Zip : 01890-1446
Country : US
Telephone Number : 781-756-2319
Fax Number :
Authorized Official
Title or Position : CFO
Name : SCOTT BAKOTIC
Credential :
Telephone Number : 678-965-2822
Provider Enumeration Date : 10/17/2005
Last Update Date : 09/09/2019

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Directions to “WINCHESTER LABORATORY ASSOCIATES INC ” Practice Location

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