Organization
ST OF CT DEPT. OF PUBLIC HEALTH LABORATORY
Active
Organization
ST OF CT DEPT. OF PUBLIC HEALTH LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE KELLEY (LABORATORY DIRECTOR)
(860) 509-8500
Entity
Organization
Contact information
Practice address
10 CLINTON ST, HARTFORD, CT 06106-1624
(860) 509-8500
Mailing address
PO BOX 1689, HARTFORD, CT 06144-1689
(860) 509-8500
(860) 509-8697
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL-0197
CT
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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