NPI 1013152792

Housatonic Valley Radiological Associates PC

Organisation Physiological Laboratory Danbury, CT

Practice location

Address: 67 Sand Pit Rd Suite 105, Danbury, CT 06810-4032
Phone: (203) 797-1770
Fax: (203) 796-7839

Authorised official

Name: Conrad P Ehrlich
Title: President
Phone: (203) 797-1770

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 025510 (CT)

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Registry record

NPI: 1013152792
Entity type: Organization
NPI issued: 9 Dec 2008
Record last updated: 23 Mar 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.