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

Active since May 19, 2007CLIA Certified · 5 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: October 18, 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 5 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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Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Healthcare (sleep Lab) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20040121000411Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Prime Healthcare (sleep Lab), which bills Medicare for the services they deliver. Of these, 5 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner66
Internal Medicine15
Family Practice14
Gastroenterology7
Urology5
Pulmonary Disease4
Endocrinology2
Certified Clinical Nurse Specialist (CNS)1
2 other specialties2

Nearest to this location (20)

See all 116
Amber Berry, ANP-BC, MSN
Nurse Practitioner
NPI 1821426487
30 JORDAN LN
Wethersfield, CT 06109
(860) 263-0263
✔ PECOS✔ Accepts MedicareSame address
Wayne Paulekas, MD
Internal Medicine
NPI 1730166422
30 JORDAN LN
Wethersfield, CT 06109
(860) 263-0263
✔ PECOS✔ Accepts MedicareSame address
Frederick Pope, MD
Internal Medicine
NPI 1912984618
30 JORDAN LN
Wethersfield, CT 06109
(860) 263-0263
✔ PECOSSame address
Maria Renna, MD, PHD
Geriatric Medicine
NPI 1164750030
30 JORDAN LN
Wethersfield, CT 06109
(860) 263-0263
✔ PECOS✔ Accepts MedicareSame address
Katherine Thomsen, APRN
Nurse Practitioner
NPI 1659344174
30 JORDAN LN
Wethersfield, CT 06109
(860) 263-0253
✔ PECOSSame address
Golam Gazi, M.D.
Gastroenterology
NPI 1427076330
350 SILAS DEANE HWY
Wethersfield, CT 06109
(860) 529-8670
✔ PECOS✔ Accepts Medicare0.5 mi
Jasveen Batra
Family Practice
NPI 1497218986
PRIME HEALTHCARE 30 JORDAN LN
Wethersfield, CT 06109
(860) 263-0263
✔ PECOS✔ Accepts Medicare1.8 mi
Roshelle Tappin, APRN
Nurse Practitioner
NPI 1821454158
80 SEYMOUR STREET HARTFORD HOSPITAL SURGERY DEPT.
Hartford, CT 06102
(860) 972-4670
✔ PECOS✔ Accepts Medicare2.2 mi
Alberto Rodriguez, M.D.
Family Practice
NPI 1316967037
345 N MAIN ST STE 112
West Hartford, CT 06117
(860) 296-4022
✔ PECOS✔ Accepts Medicare2.2 mi
Kristina Deconti, APRN
Nurse Practitioner
NPI 1003491036
893 MAIN ST
East Hartford, CT 06108
(860) 528-4124
✔ PECOS✔ Accepts Medicare3.3 mi
Jorge Diez, MD
Endocrinology
NPI 1316940463
893 MAIN ST STE 202
East Hartford, CT 06108
(860) 247-2137
✔ PECOS✔ Accepts Medicare3.3 mi
Adarsh Jha, M.D.
Endocrinology
NPI 1710188685
893 MAIN ST STE 202
East Hartford, CT 06108
(860) 247-2137
✔ PECOS✔ Accepts Medicare3.3 mi
Fielding Johnson, M.D.
Pulmonary Disease
NPI 1346336237
893 MAIN ST STE 202
East Hartford, CT 06108
(860) 528-4124
✔ PECOS3.3 mi
Ronald Kimmel, MD
Internal Medicine
NPI 1649257338
893 MAIN ST SUITE 202
East Hartford, CT 06108
(860) 528-4124
✔ PECOS✔ Accepts Medicare3.3 mi
Cristina Ortega, MD
Family Practice
NPI 1376549477
893 MAIN STREET SUITE 202
East Hartford, CT 06108
(860) 528-4124
✔ PECOS3.3 mi
Angela Dee, APRN
Nurse Practitioner
NPI 1447925128
893 MAIN ST STE 202
East Hartford, CT 06108
(860) 528-4124
✔ PECOS✔ Accepts Medicare3.3 mi
Guy Trono, MD
Urology
NPI 1487670071
19 WOODLAND ST SUITE 23
Hartford, CT 06105
(860) 522-2251
✔ PECOS✔ Accepts Medicare3.6 mi
Jacob Zamstein, M.D.
Urology
NPI 1619969094
19 WOODLAND ST STE 23
Hartford, CT 06105
(860) 522-2251
✔ PECOS3.6 mi
David Grise, MD
Pulmonary Disease
NPI 1982681599
27 SYCAMORE ST STE 100, PRIME HEALTHCARE
Glastonbury, CT 06033
(860) 659-0581
✔ PECOS3.6 mi
John Rodgers, MD
Internal Medicine
NPI 1588641112
27 SYCAMORE ST STE 100, PRIME HEALTHCARE
Glastonbury, CT 06033
(860) 659-0581
✔ PECOS✔ Accepts Medicare3.6 mi
See all 116 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

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 07D0094601

Prime Healthcare, PC · East Hartford, CT
Active · expires Aug 31, 2028
CLIA Number07D0094601
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
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 of Waiver 07D0863052

Prime Healthcare PC · W Hartford, CT
Active · expires Aug 31, 2028
CLIA Number07D0863052
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
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.

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 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.

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.

Is Prime Healthcare (sleep Lab) enrolled in Medicare?

Yes. Prime Healthcare (sleep Lab) is registered in the Medicare PECOS enrollment system.

When is Prime Healthcare (sleep Lab)'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Prime Healthcare (sleep Lab)?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 10 Medicare specialties reassign their Medicare billing to Prime Healthcare (sleep Lab). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (66), Internal Medicine (15) and Family Practice (14). Of these, 5 practice at this address and 54 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prime Healthcare (sleep Lab) hold CLIA laboratory certificates?

Yes. 5 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.