Organization
PGXHEALTH, LLC
Active
Parent organization
TRANSGENOMIC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSGENOMIC, INC
Authorized official
MR. CRAIG J TUTTLE (PRESIDENT AND CEO)
(402) 452-5400
Entity
Organization
Contact information
Practice address
5 SCIENCE PARK, NEW HAVEN, CT 06511-1966
(203) 786-3411
(203) 907-1857
Mailing address
5 SCIENCE PARK, NEW HAVEN, CT 06511-1966
(203) 786-3411
(203) 907-1857
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
07D0995237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070CL0633CT02
CT ANTHEM BC/BS
CT
01
—
AA90976
HARVARD PILGRIM
—
Enumeration date
09/20/2006
Last updated
01/28/2011
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