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State of Rhode Island — NPI 1174690887, Providence, RI | NPI Central

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NPI 1174690887

OrganizationActive

State of Rhode Island

NPI 1174690887 · Clinical Medical Laboratory · Providence, RI

Provider details

NPI number: 1174690887
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Organization subpart: No
Authorized official: Glen Gallagher, Lab Director(401) 222-1720
License: LCI00216 (RI)

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000XLicense LCI00216 (RI)
Laboratories

Practice location

50 Orms St

Providence, RI 02904-2222

Phone: (401) 222-5600

Fax: (401) 222-6985

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

50 Orms St

Providence, RI 02904-2222

Other names (DBA / former)

Other name: Rhode Island State Health Laboratories
Doing business as: Rhode Island State Health Laboratories

Registry dates

Enumerated: 2006-11-29
Last updated: 2023-10-11
Certified: 2023-10-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.