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Organization
CLINICAL PATHOLOGY DIAGNOSTICS, LLC
Active
Organization
CLINICAL PATHOLOGY DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS G O'NEILL M.D. (PRESIDENT)
(203) 647-6487
Entity
Organization
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 647-6487
(860) 647-6487
Mailing address
PO BOX 1406, NEW HAVEN, CT 06505-1406
(203) 647-6487
(203) 647-6487
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00061361649
US HEALTHCARE
CT
01
—
0008172967
AETNA
CT
01
—
01023300
CIGNA
CT
01
—
01025761
CIGNA
CT
01
—
01026848
CIGNA
CT
01
—
061361649
CIGNA
CT
01
—
1104296
UNITED HEALTHCARE
CT
01
—
2927760
CIGNA
CT
01
—
761649-01
CONNECTICARE
CT
Enumeration date
10/25/2010
Last updated
10/25/2010
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