Organization
SEMA4 OPCO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE WATIMAR (PAYOR ANALYST)
(240) 429-3142
Entity
Organization
Contact information
Practice address
62 SOUTHFIELD AVE, STAMFORD, CT 06902-7229
(800) 298-6470
Mailing address
333 LUDLOW ST FL TOWER8, STAMFORD, CT 06902-6987
(475) 333-3621
(475) 333-3810
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07D2180805
CLIA
—
Enumeration date
06/17/2021
Last updated
08/31/2022
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