| NPI | 1629246830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIA CASAVANT Staff Accountant 860-482-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CT 070CL0364CT01) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-06-20 |