Collaborative Laboratory Services Llc

LBN: Collaborative Laboratory Services Llc
Collaborative Laboratory Services Llc is an health care organization with primary practice located at 114 Woodland St , Hartford CT 06105. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Collaborative Laboratory Services Llc can be contacted via phone (860) 714-2802, or through Harris, James M via phone (860) 714-4396.

Contact Information

Primary practice address
114 Woodland St Hartford CT 06105
Phone: (860) 714-2802
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, James M
Phone: (860) 714-4396

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CL-0623 Connecticut

Profile Details

NPI number 1629082920
LBN Legal business name Collaborative Laboratory Services Llc
DBA Doing business as
Authorized official Harris, James M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Jul 10th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629082920 NPPES
Connecticut Other 070CL0623CT01 ANTHEM BLUE CROSS
Connecticut MEDICAID 004225597 ANTHEM BLUE CROSS
Connecticut Other 2V4067 ANTHEM BLUE CROSS

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