Organization
GENCO LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CONROY (OWNER)
(475) 338-1169
Entity
Organization
Contact information
Practice address
7 SYCAMORE WAY UNIT 9, BRANFORD, CT 06405-6529
(475) 338-1169
Mailing address
7 SYCAMORE WAY UNIT 9, BRANFORD, CT 06405-6529
(475) 338-1169
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008103556
—
CT
05
—
1212700001
—
ME
05
—
1720678980
—
RI
Enumeration date
01/21/2021
Last updated
04/11/2024
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