Organization
NEW BRITAIN SLEEP LABORATORY, LLC
Active
Other names
Connecticut Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J GENOVESI (CEO)
(860) 770-6748
Entity
Organization
Contact information
Practice address
1 LAKE ST, SUITE 305, NEW BRITAIN, CT 06052-1396
(860) 770-6748
(860) 656-7627
Mailing address
ONE LAKE STREET, SUITE 305, NEW BRITAIN, CT 06052
(860) 770-6748
(860) 656-7627
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40G
ANTHEM
CT
05
—
4249919
—
CT
01
—
662355
CONNECTICARE
CT
01
—
7416696
AETNA
CT
01
—
9574485
CIGNA
CT
01
—
IV1003
HEALTHNET
CT
Enumeration date
08/25/2006
Last updated
08/22/2020
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