| NPI | 1558344721 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENIS C LAFRENIERE Medical Director 860-679-7503  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT 000367)  | 
| Enumeration Date | 2005-11-22 | 
| Last Update Date | 2013-12-19 |