PRIME HEALTHCARE (SLEEP LAB)
NPI 1184832354
Clinic/Center - Sleep Disorder Diagnostic in Wethersfield, CT
- Organization
- Clinic/Center
- Sleep Disorder Diagnostic
- CLIA Number: 07D2018554
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-09-2027
About PRIME HEALTHCARE (SLEEP LAB)
This page provides the complete NPI Profile along with additional information for Prime Healthcare (sleep Lab), a provider established in Wethersfield, Connecticut operating as a Clinic/center, focusing in sleep disorder diagnostic . The healthcare provider is registered in the NPI registry with number 1184832354 assigned on May 2007. The practitioner's primary taxonomy code is 261QS1200X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Stephen Bruno (Ceo)
- NPI
- 1184832354 Verify this NPI
- Provider Name
- PRIME HEALTHCARE (SLEEP LAB)
- Entity Type
- Organization
- Location Address
- 30 JORDAN LN WETHERSFIELD, CT 06109
- Location Phone
- (860) 263-0253
- Location Fax
- (860) 263-0262
- Mailing Address
- 20 ISHAM RD SUITE 100 WEST HARTFORD, CT 06107
- Mailing Phone
- (860) 521-2231
- Mailing Fax
- (860) 521-2238
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2007
- Last Update Date
- 05-24-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Sleep Disorder Diagnostic
- Taxonomy Code
- 261QS1200X
- Type
- Ambulatory Health Care Facilities
- License State
- CT
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D2018554
- Facility Type
- Physician Office
- Certificate Effective Date
- January 10, 2025
- Certificate Expiration Date
- January 09, 2027
- Laboratory Director
- JOHN W. RODGERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prime Healthcare (sleep Lab) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
WETHERSFIELD, CT 06109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184832354, enumerated as an "organization" on May 19, 2007.
The provider is located at 30 JORDAN LN WETHERSFIELD, CT 06109 and the phone number is (860) 263-0253.
Clinic/Center with taxonomy code 261QS1200X and a focus in Sleep Disorder Diagnostic.
