Organization
COASTAL DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA CONROY (OWNER)
(475) 219-3261
Entity
Organization
Contact information
Practice address
7 SYCAMORE WAY UNIT 9A, BRANFORD, CT 06405-6523
(475) 219-3261
Mailing address
7 SYCAMORE WAY UNIT 9A, BRANFORD, CT 06405-6523
(475) 219-3261
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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