| NPI | 1629082920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M HARRIS Regional Director Of Reimbursement 860-714-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT CL-0623) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-07-10 |