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Contact Information

CLINICAL PATHOLOGY DIAGNOSTICS, LLC
71 HAYNES ST
MANCHESTER, CT06040-4131
 Phone: 860-647-6487
 Fax: 860-647-6487
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CLINICAL PATHOLOGY DIAGNOSTICS, LLC

NPI # 1184924102
LBN Legal business name CLINICAL PATHOLOGY DIAGNOSTICS, LLC
Authorized official DENNIS O'NEILL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2010
Last updated 10/25/2010 - About 16 years ago
Identifiers
CT Other 0008172967 AETNA
CT Other 01023300 CIGNA
CT Other 01025761 CIGNA
CT Other 01026848 CIGNA
CT Other 061361649 CIGNA
CT Other 2927760 CIGNA
CT Other 761649-01 CONNECTICARE
CT Other 1104296 UNITED HEALTHCARE
CT Other 00061361649 US HEALTHCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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