Organization
CENTREX CLINICAL LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 797-0790
Mailing address
28 CAMPION RD, NEW HARTFORD, NY 13413-1602
(315) 797-0791
(315) 797-1849
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
22053227A020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00478524
—
NY
Enumeration date
06/28/2005
Last updated
02/21/2014
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