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PEDIATRIC ASSOCIATES, LLC
NPI 1295920015
Clinic/Center - Primary Care in Bristol, CT

Active since September 14, 2007CLIA 07D0709816 · Waiver
10 N MAIN ST, BRISTOL, CT 06010(860) 589-5230(860) 589-5297 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Associates, Llc NPPES

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

PEDIATRIC ASSOCIATES, LLC (NPI 1295920015) is a healthcare organization registered as a primary care in Bristol, Connecticut and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Maria I Lopez, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1295920015
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC ASSOCIATES, LLC
Location Address10 N MAIN STBristol, CT 06010-8102
Mailing Address10 N Main StBristol, CT 06010-8102 · (860) 589-5230 · Fax (860) 589-5297
Phone(860) 589-5230
Fax(860) 589-5297
Organization SubpartNo
Authorized OfficialMaria I LopezPractice Manager · (860) 589-5238
Enumeration DateSeptember 14, 2007
✔ NPI 1295920015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CT · 1896539000
10 N MAIN ST, Bristol, CT 06010
Open in Google Maps ↗

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 07D0709816

Pediatric Associates, LLC · Bristol, CT
Active · expires Sep 10, 2026
CLIA Number07D0709816
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorCarolyn Clark
Laboratory Phone(860) 589-5230
Laboratory LocationPediatric Associates, LLC43 Enterprise Dr, Bristol, CT 06010
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MR. DAVID L RYAN REGISTERED NURSE
Registered Nurse
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 793-3500
MELANIE ELIZABETH HILLS
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (888) 793-3500
KASHMEER ZABLAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10 N MAIN ST, SUITE 210
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-2052
MRS. GERMAINE MICHELE ANDREWS RN
Registered Nurse (Pediatrics)
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 793-3500
MIRA MCDERMOTT M.A.
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-6555
SHANNON REBECCA WALSH
Social Worker
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 793-3500
KRISTIN M GARDNER RN
Registered Nurse
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-6555
PAIGE HINTON
Counselor (School)
10 N MAIN ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (888) 793-3500

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 Pediatric Associates, LLC's NPI number?

The NPI number for Pediatric Associates, LLC is 1295920015. It was assigned to this organization in the NPPES registry on September 14, 2007.

Where is Pediatric Associates, LLC located?

Pediatric Associates, LLC is located at 10 N Main St, Bristol, CT 06010. The listed phone number is (860) 589-5230.

What is Pediatric Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pediatric Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0709816) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates, LLC was last updated on September 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.