CONCENTRA MEDICAL CENTER
NPI 1316199854
Clinic/Center - Health Service in Waterbury, CT
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 07D1000480
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-16-2026
About CONCENTRA MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Concentra Medical Center, a provider established in Waterbury, Connecticut operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1316199854 assigned on October 2008. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Concentra Medical Center. The authorized official of this NPI record is Keith Newton (President / Ceo)
- NPI
- 1316199854 Verify this NPI
- Provider Legal Name
- CONCENTRA HEALTH SERVICES, INC.
- Other Organization Name
- CONCENTRA MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8 SOUTH COMMONS ROAD WATERBURY, CT 60704
- Location Phone
- (203) 759-1229
- Location Fax
- (203) 759-0219
- Mailing Address
- 5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER ADDISON, TX 75001
- Mailing Phone
- (800) 232-3550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2008
- Last Update Date
- 10-15-2008
- 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 Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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
- 07D1000480
- Facility Type
- Physician Office
- Certificate Effective Date
- June 17, 2024
- Certificate Expiration Date
- June 16, 2026
- Laboratory Director
- VICTOR COHEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Concentra Medical Center 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316199854, enumerated as an "organization" on October 15, 2008.
The provider is located at 8 SOUTH COMMONS ROAD WATERBURY, CT 60704 and the phone number is (203) 759-1229.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.