| NPI | 1508863713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E MOSS President 203-876-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT CL-0502) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |