| NPI | 1952804080 |
|---|---|
| Doing Business As | ADVANCED GENETICS LAB LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENRY ROBERGE Owner 203-305-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2022-07-21 |