Provider Demographics
NPI:1063564714
Name:FRANEY MEDICAL LABORATORIES INC
Entity type:Organization
Organization Name:FRANEY MEDICAL LABORATORIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-888-7546
Mailing Address - Street 1:52 MERCANTILE WAY
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-4676
Mailing Address - Country:US
Mailing Address - Phone:508-888-7546
Mailing Address - Fax:508-833-6735
Practice Address - Street 1:52 MERCANTILE WAY
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-4676
Practice Address - Country:US
Practice Address - Phone:508-888-7546
Practice Address - Fax:508-833-6735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3343291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0802441Medicaid
MAFR228209Medicare PIN