Provider Demographics
NPI:1265817407
Name:WREN LABORATORIES LLC
Entity Type:Organization
Organization Name:WREN LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-208-3458
Mailing Address - Street 1:35 NE INDUSTRIAL RD
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-6802
Mailing Address - Country:US
Mailing Address - Phone:203-208-3458
Mailing Address - Fax:
Practice Address - Street 1:35 NE INDUSTRIAL RD
Practice Address - Street 2:SUITE 100B
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-6802
Practice Address - Country:US
Practice Address - Phone:203-208-3458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCL0704291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory