Organization
THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES, PC
Active
Other names
Laboratory at Reproductive Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE RAVECH (VP, MANAGED CARE CONTRACTING, IVS)
(860) 678-3428
Entity
Organization
Contact information
Practice address
2 BATTERSON PARK RD, FARMINGTON, CT 06032-2568
(860) 679-4580
(860) 679-3639
Mailing address
2 BATTERSON PARK RD, FARMINGTON, CT 06032-2568
(860) 679-4580
(860) 679-3639
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
07D0709026
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07D0709026
CLIA
—
Enumeration date
12/07/2007
Last updated
01/01/2015
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