| NPI | 1982021564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SANDFORD CEO 203-993-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2073394) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2023-06-30 |