SOUTHEASTERN CT PRIMARY CARE, LLC
NPI 1134591696
Clinic/Center - Primary Care in Groton, CT
About Southeastern Ct Primary Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN CT PRIMARY CARE, LLC (NPI 1134591696) is a healthcare organization registered as a primary care in Groton, Connecticut and active in the NPI registry since October 2015. The organization maintains a secondary practice location in Niantic and lists Rosalinda G Gaona, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D2116496
Southeastern Ct Primary Care, LLC · Groton, CTOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GROTON, CT 06340
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southeastern Ct Primary Care, LLC's NPI number?
The NPI number for Southeastern Ct Primary Care, LLC is 1134591696. It was assigned to this organization in the NPPES registry on October 23, 2015.
Where is Southeastern Ct Primary Care, LLC located?
Southeastern Ct Primary Care, LLC is located at 495 Gold Star Hwy Ste 112, Groton, CT 06340. The listed phone number is (860) 691-8084.
What is Southeastern Ct Primary Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Southeastern Ct Primary Care, LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
