NPI | 1336122100 |
---|---|
Doing Business As | DERMATOPATHOLOGY LABORATORY |
Entity Type | Organization |
Authorized Contact | DENIS C LAFRENIERE Medical Director 860-679-7503 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT 021687) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2015-11-17 |