NPI 1629082920

Collaborative Laboratory Services LLC

Organisation Clinical Medical Laboratory Hartford, CT

Practice location

Address: 114 Woodland St Fl 5, Hartford, CT 06105-1208
Phone: (860) 714-2802
Mailing address: 114 Woodland St, Hartford, CT 06105-1208

Authorised official

Name: Antonio Perugino
Title: Vp of Finance & Cfo
Phone: (860) 714-4714

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence CL-0623 (CT)

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Registry record

NPI: 1629082920
Entity type: Organization
NPI issued: 29 Jul 2006
Record last updated: 16 Jul 2026

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.