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MWL-WALLINGFORD
NPI 1346858867
Family Medicine in Wallingford, CT

Active since July 21, 2020CLIA 07D2217344 · Waiver
1243 S BROAD ST, WALLINGFORD, CT 06492(203) 446-4555 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 2, 2022, Jul 21, 2020 (2 updates tracked since 2020).

About Mwl-wallingford NPPES

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

MWL-WALLINGFORD (NPI 1346858867) is a healthcare organization registered as a family medicine in Wallingford, Connecticut and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Pranav Shah, Ownere, as its authorized official.

NPPES Registry Identity

NPI1346858867
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMWL-WALLINGFORD
Location Address1243 S BROAD STWallingford, CT 06492-1737
Mailing Address1243 S Broad StWallingford, CT 06492-1737 · (203) 446-4555
Phone(203) 446-4555
Organization SubpartNo
Authorized OfficialPranav ShahOwnere · (203) 446-4555
Enumeration DateJuly 21, 2020
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1346858867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1243 S BROAD ST, Wallingford, CT 06492
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 07D2217344

Mwl-Wallingford LLC · Wallingford, CT
Active · expires Mar 18, 2027
CLIA Number07D2217344
Laboratory TypePractitioner Other
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorRochelle Collins
Laboratory Phone(203) 446-4555
Laboratory LocationMwl-Wallingford LLC1243 South Broad St, Wallingford, CT 06492
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALLISON PEARSON DNP, FNP
Nurse Practitioner (Family)
1243 S BROAD ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 446-4555
MJS MED LLC
Family Medicine
1243 S BROAD ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 446-4555

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 Mwl-Wallingford's NPI number?

The NPI number for Mwl-Wallingford is 1346858867. It was assigned to this organization in the NPPES registry on July 21, 2020.

Where is Mwl-Wallingford located?

Mwl-Wallingford is located at 1243 S Broad St, Wallingford, CT 06492. The listed phone number is (203) 446-4555.

What is Mwl-Wallingford's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mwl-Wallingford hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2217344) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mwl-Wallingford was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.