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NPI 1912915828 · live from the CMS NPI Registry

Dermatopathology Laboratory Of New England PC

Clinical Medical Laboratory in Meriden, CT. National Provider Identifier 1912915828, active.

NPI record

NPI1912915828 Type 2 · organization
StatusActive
Primary specialtyClinical Medical Laboratory 291U00000X
Practice location140 Green Rd, Meriden, CT 06450
Practice phone203-630-2666
EnumeratedAugust 4, 2006
Last updatedFebruary 25, 2013
Authorized officialPhilip Shapiro, President

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology207N00000X029159 (CT)
Clinical Medical Laboratory primary291U00000XCL0562 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.