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STATE OF CONNECTICUT HEALTH CENTER NPI 1003074030


NPI Information

NPI: 1003074030
Provider Name: STATE OF CONNECTICUT HEALTH CENTER

Other Name: ANATOMIC PATHOLOGY HBP GROUP

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
263 FARMINGTON AVE
LABORATORY HBP GROUP
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-7503
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STATE OF CONNECTICUT HEALTH CENTER is an anatomic pathology and clinical pathology pathology in Farmington, CT. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. STATE OF CONNECTICUT HEALTH CENTER NPI is 1003074030. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Anatomic Pathology Hbp Group.

The provider's business location address is:

263 FARMINGTON AVE
LABORATORY HBP GROUP
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-7503
Fax: (860) 679-1610

The provider's authorized official is Denis C Lafreniere .
The authorized official title is Medical Director and has the following contact phone number (860) 679-7503.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 6/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyCL0606CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500HBL432CT01OTHERCONNECTICUTANTHEM BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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