Provider Demographics
NPI:1033825443
Name:PRIORITY ONE DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:PRIORITY ONE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-455-0443
Mailing Address - Street 1:214 N MAIN ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-1750
Mailing Address - Country:US
Mailing Address - Phone:508-455-0443
Mailing Address - Fax:508-463-4066
Practice Address - Street 1:214 N MAIN ST UNIT 4
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-1750
Practice Address - Country:US
Practice Address - Phone:508-455-0443
Practice Address - Fax:508-463-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory