Organization
PHYSICIANS ANCILLARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WEATHERWAX (SVP FINANCE)
(469) 646-8663
Entity
Organization
Contact information
Practice address
1080 ELM ST STE 103, ROCKY HILL, CT 06067-1844
(888) 482-2334
(888) 896-0179
Mailing address
1080 ELM ST STE 103, ROCKY HILL, CT 06067-1844
(888) 482-2334
(888) 896-0179
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
11/02/2023
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