Provider Demographics
NPI:1992457220
Name:EXPRESS TESTS
Entity type:Organization
Organization Name:EXPRESS TESTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HEGAZI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-212-2651
Mailing Address - Street 1:124 BAY RD
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-3034
Mailing Address - Country:US
Mailing Address - Phone:508-369-2761
Mailing Address - Fax:
Practice Address - Street 1:999 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-3656
Practice Address - Country:US
Practice Address - Phone:508-369-2761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory