| NPI | 1336904861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE JEAN RAVECH Chief Managed Care Officer 860-305-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2025-04-24 |