| NPI | 1619140829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN S LOWENTHAL Physician 860-482-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT 07D0100617) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-06-30 |