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PRIME HEALTHCARE, PC
NPI 1184819302
Internal Medicine in Wethersfield, CT

Active since September 11, 2007CLIA Certified · 3 labs
30 JORDAN LN, WETHERSFIELD, CT 06109(860) 263-0253(860) 263-0262 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Healthcare, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME HEALTHCARE, PC (NPI 1184819302) is a healthcare organization registered as an internal medicine in Wethersfield, Connecticut and active in the NPI registry since September 2007. The organization holds 3 active CLIA laboratory certificates and lists Susan Albano, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184819302
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIME HEALTHCARE, PC
Location Address30 JORDAN LNWethersfield, CT 06109-1278
Mailing Address30 Jordan LnWethersfield, CT 06109-1278 · (860) 263-0253 · Fax (860) 263-0262
Phone(860) 263-0253
Fax(860) 263-0262
Organization SubpartNo
Authorized OfficialSusan AlbanoCeo · (860) 263-0253
Enumeration DateSeptember 11, 2007
Last NPPES UpdateAugust 3, 2015
✔ NPI 1184819302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPediatricsTaxonomy 208000000X · License 54316 (CT)
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
30 JORDAN LN, Wethersfield, CT 06109
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Other Identifiers 4

Medicaid008058707CT
Medicaid004185147CT
Medicaid004201480CT
Medicare PINC02239CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 Compliance 07D2310544

Prime Healthcare Laboratory · Wethersfield, CT
Active · expires Sep 4, 2026
CLIA Number07D2310544
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorAneta Rafalowski
Laboratory Phone(860) 647-6487
Laboratory LocationPrime Healthcare Laboratory30 Jordan Lane, Wethersfield, CT 06109
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 07D0094601

Prime Healthcare, PC · East Hartford, CT
Active · expires Aug 31, 2026
CLIA Number07D0094601
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRonald E. Kimmel
Laboratory Phone(860) 263-0253
Laboratory LocationPrime Healthcare, PC893 Main St, Suite # 202, East Hartford, CT 06108
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D0093481

Prime Health Care PC · South Windsor, CT
Active · expires Dec 22, 2027
CLIA Number07D0093481
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorKawarjeet E. Singh
Laboratory Phone(860) 263-0253
Laboratory LocationPrime Health Care PC925 Sullivan Ave Ste 1, South Windsor, CT 06074
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT REGINIO MD
Internal Medicine
30 JORDAN LN
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 263-0263
MARIA RENNA MD, PHD
Internal Medicine (Geriatric Medicine)
30 JORDAN LN
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 263-0263
PRIME HEALTHCARE (SLEEP LAB)
Clinic/Center (Sleep Disorder Diagnostic)
30 JORDAN LN
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 263-0253
PRIME HEALTHCARE LTC PC
Internal Medicine
30 JORDAN LN
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 263-0263
DR. AMARILLYS RODRIGUEZ MD
Family Medicine
30 JORDAN LN
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 263-0253
DEBORAH ANN BROADLEY NP
Nurse Practitioner (Family)
30 JORDAN LN
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 263-0253
RIGHT AT HOME IN HOMECARE & ASSISTANCE
Home Health
30 JORDAN LN, 3RD FLOOR
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 436-9757
KATHERINE THOMSEN APRN
Nurse Practitioner (Adult Health)
30 JORDAN LN
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 263-0253

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 Prime Healthcare, PC's NPI number?

The NPI number for Prime Healthcare, PC is 1184819302. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Prime Healthcare, PC located?

Prime Healthcare, PC is located at 30 Jordan Ln, Wethersfield, CT 06109. The listed phone number is (860) 263-0253.

What is Prime Healthcare, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Prime Healthcare, PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Prime Healthcare, PC was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.