Organization
IKONISYS INC.
Active
Other names
Ikonisys Clinical Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J. WALAT MD (MEDICAL DIRECTOR)
(203) 776-0791
Entity
Organization
Contact information
Practice address
5 SCIENCE PARK, NEW HAVEN, CT 06511-1966
(203) 776-0791
(203) 776-0795
Mailing address
5 SCIENCE PARK, NEW HAVEN, CT 06511-1966
(203) 776-0791
(203) 776-0795
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
04/08/2008
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