LEDGE LIGHT HEALTH DISTRICT
NPI 1902110323
Public Health or Welfare in New London, CT

Active since July 27, 2010CLIA 07D2075248 · Waiver
216 BROAD ST, NEW LONDON, CT 06320(860) 448-4882(860) 448-4885 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ledge Light Health District NPPES

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

LEDGE LIGHT HEALTH DISTRICT (NPI 1902110323) is a healthcare organization registered as a public health or welfare in New London, Connecticut and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through March 24, 2028, maintains a secondary practice location in New London, and lists Jennifer Muggeo, Director Of Health, as its authorized official.

NPPES Registry Identity

NPI1902110323
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameLEDGE LIGHT HEALTH DISTRICT
Location Address216 BROAD STNew London, CT 06320-5335
Mailing Address943 North RdGroton, CT 06340-3272 · (860) 448-4882 · Fax (860) 448-4885
Fax(860) 448-4885
Organization SubpartNo
Authorized OfficialJennifer MuggeoDirector Of Health · (860) 448-4882
Enumeration DateJuly 27, 2010
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1902110323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
216 BROAD ST, New London, CT 06320

Secondary Practice Location 1

Location 174 Garfield AveNew London, CT 06320-5155 · Phone (860) 448-4882 ext. 1300 · Fax (860) 448-4885

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 07D2075248

Ledge Light Health District · New London, CT
Active · expires Mar 24, 2028
CLIA Number07D2075248
Laboratory TypeLocal Health Dept
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorStephen Mansfield
Laboratory Phone(860) 448-4882
Laboratory LocationLedge Light Health District216 Broad St, New London, CT 06320
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ledge Light Health District's NPI number?

The NPI number for Ledge Light Health District is 1902110323. It was assigned to this organization in the NPPES registry on July 27, 2010.

Where is Ledge Light Health District located?

Ledge Light Health District is located at 216 Broad St, New London, CT 06320. The listed phone number is (860) 448-4882.

What is Ledge Light Health District's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Ledge Light Health District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2075248) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ledge Light Health District was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.