Organization
THE JACKSON LABORATORY
Active
Organization
THE JACKSON LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LUSSIER (PROGRAM DIRECTOR, CLINIC GENOMICS)
(860) 837-2131
Entity
Organization
Contact information
Practice address
10 DISCOVERY DR, FARMINGTON, CT 06032-2374
(860) 837-2300
Mailing address
610 MAIN ST, BAR HARBOR, ME 04609-1526
(207) 288-6000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL-0695
CT
Other
Enumeration date
11/02/2013
Last updated
01/30/2023
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