Active NPIOrganization

State Of Connecticut Health Center

Pathology, Anatomic Pathology & Clinical Pathology in Farmington, Connecticut

NPI Number1003074030
Practice location
263 Farmington Ave, Laboratory Hbp Group, Farmington, CT 06030-0001
Fax
860-679-1610
Last updated
June 15, 2012

State Of Connecticut Health Center is a healthcare organization based in Farmington, CT. State Of Connecticut Health Center practices in Farmington, CT. The NPI Number for State Of Connecticut Health Center is 1003074030 and holds a License No. CL0606 (CT). The current practice location address for State Of Connecticut Health Center is 263 Farmington Ave, Laboratory Hbp Group, Farmington, CT 06030-0001 and can be reached out via phone at 860-679-7503 and via fax at 860-679-1610.

Provider Profile Details

NPI Number
1003074030
Provider Name
State Of Connecticut Health Center
Provider Entity Type
Organization
Address
263 Farmington Ave, Laboratory Hbp Group, Farmington, CT 06030-0001
Phone Number
860-679-7503
Fax Number
860-679-1610
Organization Subpart
Yes
Parent Organization
State Of Connecticut Health Center
Authorized Official
Denis C Lafreniere, MD · Medical Director · 860-679-7503
Other Names
Anatomic Pathology Hbp Group (Other Name)
Provider Enumeration Date
May 27, 2008
Last Update Date
June 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Ave
Laboratory Hbp Group
Farmington, CT 06030-0001
Zip
06030-0001
Phone Number
860-679-7503
Fax Number
860-679-1610
Farmington, CT 06030Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Provider Enrollment - Dowling South
Farmington, CT 06030-2212
City
Farmington
State
CT
Zip
06030-2212
Phone Number
860-679-7503
Fax Number
860-679-1610

License Information

License Number
CL0606
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of State Of Connecticut Health Center?

The NPI number of State Of Connecticut Health Center is 1003074030. It was assigned on May 27, 2008 and is currently active in the NPPES registry.

What is the specialty of State Of Connecticut Health Center?

State Of Connecticut Health Center is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number CL0606.

Where does State Of Connecticut Health Center practice?

The practice location is 263 Farmington Ave, Laboratory Hbp Group, Farmington, CT 06030-0001. The office can be reached at 860-679-7503 (phone) or 860-679-1610 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003074030 directly on the NPPES registry website.

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