NPI 1417250945

Interpace Diagnostics Lab, INC.

Organisation Clinical Medical Laboratory New Haven, CT

Practice location

Address: 2 Church St S Suite B-05, New Haven, CT 06519-1717
Phone: (203) 252-3558
Fax: (203) 624-5742

Authorised official

Name: Graham Miao
Title: Cfo
Phone: (862) 207-7824

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Connecticut →

Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X Licence CL-0664 (CT)

Registry record

NPI: 1417250945
Entity type: Organization
NPI issued: 6 Dec 2010
Record last updated: 22 Apr 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.