| NPI | 1265817407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DOWNER Managing Member 203-208-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT CL0704) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2025-09-30 |