Organization
CT LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS DE ESCOBAR NMD (OWNER)
(203) 757-9336
Entity
Organization
Contact information
Practice address
417 HIGHLAND AVE STE 2, WATERBURY, CT 06708-3454
(203) 757-9336
(888) 532-1877
Mailing address
417 HIGHLAND AVE STE 2, WATERBURY, CT 06708-3454
(203) 757-9336
(888) 532-1877
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD971566
CT
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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