Whalio Doctors

NPI 1366836066

Fst Lab, LLC

Organisation Clinical Medical Laboratory Bridgeport, CT

Practice location

Address
48 Alpine St, Bridgeport, CT 06610-1727
Phone
(203) 870-6050
Fax
(203) 333-9098

Authorised official

Name
Fritz Maignan
Title
Owner
Phone
(203) 870-6050

Registered specialties

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X Licence 07D2023800 (CT)

Registry record

NPI
1366836066
Entity type
Organization
NPI issued
20 Mar 2015
Record last updated
20 Mar 2015

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.