| 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 |