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PRIME HEALTHCARE (SLEEP LAB)
NPI 1184832354
Clinic/Center - Sleep Disorder Diagnostic in Wethersfield, CT

Active since May 19, 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: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Healthcare (sleep Lab) NPPES

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

PRIME HEALTHCARE (SLEEP LAB) (NPI 1184832354) is a healthcare organization registered as a sleep disorder diagnostic in Wethersfield, Connecticut and active in the NPI registry since May 2007. The organization holds 3 active CLIA laboratory certificates and lists Stephen Bruno, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184832354
Entity TypeOrganization
Primary Taxonomy261QS1200X
Legal Business NamePRIME HEALTHCARE (SLEEP LAB)
Location Address30 JORDAN LNWethersfield, CT 06109-1278
Mailing Address20 Isham Rd, Suite 100West Hartford, CT 06107-2204 · (860) 521-2231 · Fax (860) 521-2238
Phone(860) 263-0253
Fax(860) 263-0262
Organization SubpartNo
Authorized OfficialStephen BrunoCeo · (860) 263-0253
Enumeration DateMay 19, 2007
Last NPPES UpdateMay 24, 2011
✔ NPI 1184832354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Sleep Disorder DiagnosticAmbulatory Health Care Facilities
Taxonomy Code261QS1200X
30 JORDAN LN, Wethersfield, CT 06109
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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 Waiver 07D2211781

Prime Healthcare, PC · West Hartford, CT
Active · expires Jan 31, 2027
CLIA Number07D2211781
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorWilliam R. Preskenis
Laboratory Phone(860) 247-2530
Laboratory LocationPrime Healthcare, PC61 So Main St, Ste 312, West Hartford, CT 06107
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2018554

Prime Healthcare · W Hartford, CT
Active · expires Jan 9, 2027
CLIA Number07D2018554
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorJohn W. Rodgers
Laboratory Phone(860) 659-0581
Laboratory LocationPrime Healthcare20 Isham Road, W Hartford, CT 06107
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D0863052

Prime Healthcare PC · W Hartford, CT
Active · expires Aug 31, 2026
CLIA Number07D0863052
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPhilip Karanian
Laboratory Phone(860) 527-1669
Laboratory LocationPrime Healthcare PC20 Isham Rd, W Hartford, CT 06107
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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, PC
Internal Medicine
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 (sleep Lab)'s NPI number?

The NPI number for Prime Healthcare (sleep Lab) is 1184832354. It was assigned to this organization in the NPPES registry on May 19, 2007.

Where is Prime Healthcare (sleep Lab) located?

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

What is Prime Healthcare (sleep Lab)'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Sleep Disorder Diagnostic, with taxonomy code 261QS1200X.

Does Prime Healthcare (sleep Lab) 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 (sleep Lab) was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.