| NPI | 1073143988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE RODRIGUEZ Executive Director 860-296-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-21 |