Provider Demographics
NPI:1710108451
Name:ASSOCIATES OF CAPE COD
Entity Type:Organization
Organization Name:ASSOCIATES OF CAPE COD
Other - Org Name:BEACON DIAGNOSTICS LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-540-3444
Mailing Address - Street 1:124 BERNARD SAINT JEAN
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-4445
Mailing Address - Country:US
Mailing Address - Phone:800-568-0058
Mailing Address - Fax:508-444-1481
Practice Address - Street 1:124 BERNARD SAINT JEAN
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-4445
Practice Address - Country:US
Practice Address - Phone:800-568-0058
Practice Address - Fax:508-444-1481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2545291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory