OrganizationActive
East Side Clinical Laboratory, Inc.
NPI 1861404121 · Clinical Medical Laboratory · East Providence, RI
Provider details
- NPI number
- 1861404121
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Alan Greenberg, President(516) 396-5800
- License
- LCI00449 (RI)
Specialties & taxonomies
Laboratories
Practice location
10 Risho Ave
East Providence, RI 02914-1227
Phone: (401) 455-8400
Fax: (401) 455-8444
Approximate (ZIP-level) locationGet directions
Mailing address
10 Risho Ave
East Providence, RI 02914-1227
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.