OrganizationActive
Willow Street Medical Laboratory LLC
NPI 1366625071 · Clinical Medical Laboratory · Pawtucket, RI
Provider details
- NPI number
- 1366625071
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Willow Street Medical Laboratory LLC
- Organization subpart
- Yes
- Authorized official
- Brian Strasnick, Ceo President(781) 268-2400
Specialties & taxonomies
Laboratories
Practice location
200 Main Street
Suite 220
Pawtucket, RI 02860
Phone: (401) 721-0970
Fax: (401) 721-9931
Approximate (ZIP-level) locationGet directions
Mailing address
200 Main Street
Pawtucket, RI 02860
Registry dates
- Enumerated
- 2007-12-17
- Last updated
- 2007-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.