MEDICARE: ARBORETUM CLINICAL, LLC

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	:	1588543250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARBORETUM CLINICAL, LLC

Provider Business Mailing Address
First Line	:	245 MAIN ST FL 2
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02142-1064
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 QUAKER AVE STE 300
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79413-5940
Country	:	US
Telephone Number	:	617-465-0969
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	DANIELLE CIOFANI
Credential	:
Telephone Number	:	617-465-0969

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	06/16/2026

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