Advanced Genetics Lab LLC
NPI #1952804080 in Monroe, Connecticut
Provider Information
- NPI Number
- 1952804080
- Entity Type
- Organization
- Organization Name
- Advanced Genetics Lab LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 15, 2018
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 810 MAIN ST
- City
- Monroe
- State
- Connecticut
- ZIP Code
- 06468-2809
- Phone
- (203) 305-1249
Authorized Official
- Name
- MR. MICHAEL HENRY ROBERGE
- Title
- OWNER
- Phone
- (203) 305-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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