NPI 1760827166 · live from the CMS NPI Registry
Cohen Dermatopathology, PC
Clinical Medical Laboratory in Farmington, CT. National Provider Identifier 1760827166, active.
NPI record
| NPI | 1760827166 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinical Medical Laboratory 291U00000X |
| Practice location | 270 Farmington Ave, Suite 332, Farmington, CT 06032 |
| Practice phone | 617-969-4100 |
| Mailing address | 6655 North Macarthur Boulevard, Attn: Managed Care Department, Irving, TX 75039 |
| Enumerated | April 30, 2013 |
| Last updated | April 25, 2018 |
| Authorized official | Bonnie Pirtz, Vp, Managed Care |
| Other names | Inform Diagnostics, INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Dermatopathology | 207ND0900X | — |
| Clinical Medical Laboratory primary | 291U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.