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ROY B PETTENGILL AMB ASSOC
NPI 1750379293
Ambulance - Land Transport in Marlborough, CT

Active since October 10, 2005CLIA 07D2274564 · Waiver
7 HEBRON RD, MARLBOROUGH, CT 06447(860) 295-6219(860) 295-0604 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Aug 11, 2025, Aug 22, 2020 (3 updates tracked since 2020).

About Roy B Pettengill Amb Assoc NPPES

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

ROY B PETTENGILL AMB ASSOC (NPI 1750379293) is a healthcare organization registered as a land transport in Marlborough, Connecticut and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Lori A Tarka, President, as its authorized official.

NPPES Registry Identity

NPI1750379293
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameROY B PETTENGILL AMB ASSOC
Location Address7 HEBRON RDMarlborough, CT 06447-1202
Mailing AddressPo Box 165Branford, CT 06405-0165 · (860) 663-3634 · Fax (860) 452-4430
Phone(860) 295-6219
Fax(860) 295-0604
Organization SubpartNo
Authorized OfficialLori A TarkaPresident · (860) 402-5899
Enumeration DateOctober 10, 2005
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1750379293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in CT · C079B1
7 HEBRON RD, Marlborough, CT 06447
Open in Google Maps ↗

Other Identifiers 1

Medicaid004224565CT

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 07D2274564

Roy B Pettengill Ambulance · Marlborough, CT
Active · expires Jan 5, 2027
CLIA Number07D2274564
Laboratory TypeAmbulance
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorMark Merritt
Laboratory Phone(860) 916-9577
Laboratory LocationRoy B Pettengill Ambulance7 Hebron Rd, Marlborough, CT 06447
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
449 services94 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
71 services56 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
55 services48 patients

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 Roy B Pettengill Amb Assoc's NPI number?

The NPI number for Roy B Pettengill Amb Assoc is 1750379293. It was assigned to this organization in the NPPES registry on October 10, 2005.

Where is Roy B Pettengill Amb Assoc located?

Roy B Pettengill Amb Assoc is located at 7 Hebron Rd, Marlborough, CT 06447. The listed phone number is (860) 295-6219.

What is Roy B Pettengill Amb Assoc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Roy B Pettengill Amb Assoc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2274564) is associated with this NPI, valid through January 5, 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 Roy B Pettengill Amb Assoc was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.