Substation [3]
Director
Robert T Marshall, M.D.
Expiration Date
Phone Number
(631) 484-8440
UID (Facility ID - Site ID)
G883-0001
Site ID
0001
City
Medford
CLIA Number
33D2309198
Street Address
1890 Rte 112
State
NY
Zip Code
11763
County
Suffolk
Country
United States
Primary Contact
Robert Simpson
Contact Phone Number
(631) 484-8440
Certificate Type
WAIVER
Tests
Glucose
Facility ID
G883