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MIDDLESEX ENDOSCOPY CENTER LLC
NPI 1972522985
Clinic/Center - Ambulatory Surgical in Middletown, CT

Active since July 19, 2006CLIA 07D1036410 · Waiver
410 SAYBROOK RD, SUITE 200, MIDDLETOWN, CT 06457(860) 343-1240(860) 343-1250 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Middlesex Endoscopy Center Llc NPPES

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

MIDDLESEX ENDOSCOPY CENTER LLC (NPI 1972522985) is a healthcare organization registered as an ambulatory surgical in Middletown, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Kris Mineau, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972522985
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMIDDLESEX ENDOSCOPY CENTER LLC
Location Address410 SAYBROOK RD, SUITE 200Middletown, CT 06457-4777
Mailing Address505 Willard Ave, Building 3Newington, CT 06111-2650 · (860) 665-0174 · Fax (860) 667-2066
Phone(860) 343-1240
Fax(860) 343-1250
Organization SubpartNo
Authorized OfficialKris MineauAdministrator · (860) 665-0174
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 17, 2007
✔ NPI 1972522985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
410 SAYBROOK RD, Middletown, CT 06457
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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 07D1036410

Middlesex Endoscopy Center, LLC · Middletown, CT
Active · expires Feb 3, 2027
CLIA Number07D1036410
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorGregor J. Koobatian
Laboratory Phone(860) 343-1240
Laboratory LocationMiddlesex Endoscopy Center, LLC410 Saybrook Road, Suite 200, Middletown, CT 06457
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
379 services379 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
367 services365 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
278 services267 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
77 services75 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
56 services55 patients
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251
This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.
31 services31 patients

Other Providers at the Same Location NPPES 20

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

OAA LLC
Dentist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-3261
DR. HOMAIRA RASOOL DO
Internal Medicine (Gastroenterology)
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-4620
MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP
Specialist
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 685-8940
MIDDESEX DENTAL SLEEP MEDICINE LLC
Dentist
410 SAYBROOK RD, SUITE 202
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-3443
MARIO Q RICCI JR. MD
Internal Medicine (Gastroenterology)
410 SAYBROOK RD, SUITE 201
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-4620
JENNIFER BROOKS KUBRYNSKI PT
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 638-3820
JONATHAN C GLENNEY PT
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 638-3820
CARLY CROTEAU PT, DPT
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 638-3820

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 Middlesex Endoscopy Center LLC's NPI number?

The NPI number for Middlesex Endoscopy Center LLC is 1972522985. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Middlesex Endoscopy Center LLC located?

Middlesex Endoscopy Center LLC is located at 410 Saybrook Rd Suite 200, Middletown, CT 06457. The listed phone number is (860) 343-1240.

What is Middlesex Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Middlesex Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1036410) is associated with this NPI, valid through February 3, 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 Middlesex Endoscopy Center LLC was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.