Organization
GRAHAM-MASSEY ANALYTICAL LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA LYNN FREEMAN (MGR OF CREDENTIALING/ENROLLMENT)
(508) 304-7602
Entity
Organization
Contact information
Practice address
60 TODD RD, SHELTON, CT 06484-5342
(203) 926-1100
(203) 944-9189
Mailing address
12015 E 46TH AVE, SUITE 250, DENVER, CO 80239-3107
(855) 895-8090
(303) 371-0345
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL-0484
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07D0686807
CLIA ID NUMBER
CT
Enumeration date
03/06/2007
Last updated
06/08/2016
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