AMPLE URGENT AND PRIMARY CARE LLC
NPI 1497474191
Clinic/Center - Primary Care in West Hartford, CT

Active since August 25, 2022CLIA 07D2280619 · Waiver
10 PRINCETON ST, WEST HARTFORD, CT 06110(860) 707-5392 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Aug 25, 2022 (2 updates tracked since 2022).

About Ample Urgent And Primary Care Llc NPPES

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

AMPLE URGENT AND PRIMARY CARE LLC (NPI 1497474191) is a healthcare organization registered as a primary care in West Hartford, Connecticut and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Mojdeh Heidari, Owner, as its authorized official.

NPPES Registry Identity

NPI1497474191
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAMPLE URGENT AND PRIMARY CARE LLC
Location Address10 PRINCETON STWest Hartford, CT 06110-1893
Mailing Address10 Princeton StWest Hartford, CT 06110-1893 · (860) 707-5392
Organization SubpartNo
Authorized OfficialMojdeh HeidariOwner · (860) 707-5392
Enumeration DateAugust 25, 2022
Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
NPI 1497474191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
10 PRINCETON ST, West Hartford, CT 06110

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 07D2280619

Ample Urgent And Primary Care · West Hartford, CT
Active · expires Apr 23, 2027
CLIA Number07D2280619
Laboratory TypeIndependent
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorHeidari Mojdeh
Laboratory Phone(860) 838-8799
Laboratory LocationAmple Urgent And Primary Care10 Princton St, West Hartford, CT 06110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
10 PRINCETON ST
WEST HARTFORD, CT 06110
Family Medicine
10 PRINCETON ST
WEST HARTFORD, CT 06110
Podiatrist
10 PRINCETON ST
WEST HARTFORD, CT 06110

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 Ample Urgent And Primary Care LLC's NPI number?

The NPI number for Ample Urgent And Primary Care LLC is 1497474191. It was assigned to this organization in the NPPES registry on August 25, 2022.

Where is Ample Urgent And Primary Care LLC located?

Ample Urgent And Primary Care LLC is located at 10 Princeton St, West Hartford, CT 06110. The listed phone number is (860) 707-5392.

What is Ample Urgent And Primary Care LLC's specialty?

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

Does Ample Urgent And Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2280619) is associated with this NPI, valid through April 23, 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 Ample Urgent And Primary Care LLC was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.