NPI 1003074030

State of Connecticut Health Center

Organisation Anatomic Pathology & Clinical Pathology Physician Farmington, CT

Practice location

Address: 263 Farmington Ave Laboratory Hbp Group, Farmington, CT 06030-0001
Phone: (860) 679-7503
Fax: (860) 679-1610
Mailing address: 263 Farmington Ave Provider Enrollment - Dowling South, Farmington, CT 06030-2212

Authorised official

Name: Denis C Lafreniere
Title: Medical Director
Phone: (860) 679-7503

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence CL0606 (CT)

Other Pathology providers in Connecticut →

Registry record

NPI: 1003074030
Entity type: Organization
NPI issued: 27 May 2008
Record last updated: 15 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.