MEDICARE: ACCURATE LABS

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1457780371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCURATE LABS

Provider Business Mailing Address
First Line	:	125 GREENLEAF ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-4427
Country	:	US
Telephone Number	:	617-282-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 WASHINGTON ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-7211
Country	:	US
Telephone Number	:	617-282-1400
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. JON DAVID PODGORNI
Credential	:
Telephone Number	:	860-207-4187

Provider Enumeration Date	:	11/01/2013
Last Update Date	:	11/01/2013

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Directions to “ACCURATE LABS ” Practice Location

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