Organization
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS C LAFRENIERE MD (MEDICAL DIRECTOR)
(860) 679-7503
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, CYTOGENETICS LABORATORY, FARMINGTON, CT 06030-0001
(860) 679-2469
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
000367
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4133716
—
CT
Enumeration date
11/22/2005
Last updated
12/19/2013
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