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Organization

PROHEALTH LABORATORY

Active
Parent organization
PROHEALTH PHYSICIANS
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROHEALTH PHYSICIANS
Authorized official
MR. TIM BARNARD (VP OF ANCILLARY SERVICES)
(860) 284-5200
Entity
Organization

Contact information

Practice address
950 YALE AVE, WALLINGFORD, CT 06492-1858
(203) 269-3170
Mailing address
4 FARM SPRINGS RD, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
02/11/2008
Last updated
02/11/2008
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