| NPI | 1427031293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE ATKINS Delegated Official 860-679-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT 004713) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2018-02-13 |