NPI 1245295401

Greater Waterbury Imaging Center Limited Partnership

Organisation Physiological Laboratory Waterbury, CT

Practice location

Address: 68 Robbins St, Waterbury, CT 06708-2613
Phone: (203) 573-7674
Fax: (203) 573-6255
Mailing address: PO Box 150473 Dept. 335, Hartford, CT 06115-0473

Authorised official

Name: Keith S. Kelson
Title: Chief Financial Officer
Phone: (949) 282-6000

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Connecticut →

Registry record

NPI: 1245295401
Entity type: Organization
NPI issued: 19 Apr 2006
Record last updated: 5 May 2011

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.