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Contact Information

D4 PERFORMANCE LAB
230C MOUNTAIN RD
SUFFIELD, CT06078-3019
 Phone: 860-245-1255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for D4 PERFORMANCE LAB

NPI # 1750196424
LBN Legal business name D4 PERFORMANCE LAB
Authorized official JENNIFER DOYLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2025
Last updated 02/10/2025 - More than a year ago
Identifiers n/a
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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