COLLABORATIVE LABORATORY SERVICES-BRISTOL (NPI# 1508948274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508948274 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE LABORATORY SERVICES-BRISTOL |
| Practice Address |
Brewster Road Bristol CT 06011 |
| Practice Telephone | 8605853000 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD STRACESKI (VICE PRESIDENT FOR FINANCIAL MANAGE) |
| Authorized Official Telephone | 8607144609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CL-0622 | CT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | 2V4067 | 01 |
| CT | CONNECTICARE | 620109 | 01 |
| CT | BLUE CROSS MANAGED MEDICA | 00422559700 | 01 |
| CT | PREFERRED ONE/FIRST CHOIC | N211376 | 01 |
| Street Address |
BREWSTER ROAD |
| City | BRISTOL |
| State | CT |
| Zip Code | 06011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770690802 | Sheri Ann Gelzaines | Dietitian, Registered | Brewster Road, Bristol, CT 06011 | 2006-08-24 |
| 1598033342 | Mep of Bristol, LLC | Emergency Medicine | Brewster Road, Bristol, CT 06011-0977 | 2011-12-08 |
| 1295877017 | Laureen Whitney | Pharmacist | Brewster Road, Bristol, CT 06011 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477515625 | Charles Barnicoat | Physician Assistant | Bristol Hospital, Bristol, CT 06011 | 2006-04-04 |
| 1659606028 | Lise D Lawrence | Dietitian, Registered | 41 Brewster Road, Bristol, CT 06011 | 2009-10-02 |
| 1932312667 | Karen Daprile Ryan | Registered Nurse | 41 Brewster Rd, Bristol Hospital, Bristol, CT 06011 | 2007-05-08 |
| 1922023829 | Jennifer Muneyyirci Dugan | Emergency Medicine | Bristol Hospital, Brewster Road, Bristol, CT 06011 | 2006-07-12 |
| 1952319915 | Pacifico G Flores Jr. | Internal Medicine | 665 Terryville Ave, Bristol, CT 06011-0465 | 2006-08-04 |
| 1891795316 | Surendran Raja Raja Varma | Internal Medicine | 621 Terryville Ave, Bristol, CT 06011-0570 | 2005-07-27 |
| 1124051750 | Antonio Santoro | Physician Assistant | Bristol Hospital, Brewster Rd., Bristol, CT 06011-0977 | 2006-07-08 |
| 1831215482 | Sarah Sandberg | Physician Assistant | 41 Brewster Rd, Bristol, CT 06011-0977 | 2007-03-22 |
| 1093854416 | Kimberley Joy Dompier | Dietitian, Registered | 41 Brewster Road, Bristol, CT 06011-0977 | 2007-02-05 |
| 1619901642 | Bristol Hospital Incorporated | General Acute Care Hospital | 41 Brewster Rd, Bristol, CT 06011-0977 | 2006-07-10 |
| Find all providers in zip 06011 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477076941 | Medarbor LLC | Clinical Medical Laboratory | 200 Rittenhouse Cir Ste 1-e, Bristol, PA 19007-1625 | 2017-07-17 |
| 1962804088 | Skippack Medical Lab, LLC | Clinical Medical Laboratory | 200 Rittenhouse Circle East, Suite 9, Bristol, PA 19007-1619 | 2014-09-19 |
| 1760743090 | Novus Laboratories, LLC | Clinical Medical Laboratory | 14270 Lee Hwy, Bristol, VA 24202-4316 | 2012-06-04 |
| 1447410642 | Bristol Laboratories, LLC | Clinical Medical Laboratory | 1009 W State St, Suite 2a, Bristol, VA 24201-3823 | 2008-06-11 |
| 1497920730 | Bristol Laboratories, LLC | Clinical Medical Laboratory | 337 Bluff City Hwy, Suite 206, Bristol, TN 37620-4629 | 2008-04-28 |
| 1841223872 | Cu Sleep Center LLC | Clinical Medical Laboratory | 105 Meadowview Rd, Suite 2, Bristol, TN 37620-1725 | 2006-07-10 |
| 1982844668 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2009-02-20 |
| 1831222074 | Princeton Biomedical Laboratories | Clinical Medical Laboratory | 2921 Veterans Hwy, Bristol, PA 19007-1605 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734215 | Dot Laboratories, Inc. | Clinical Medical Laboratory | 780 E Main St Ste 1, Branford, CT 06405-2956 | 2020-06-12 |
| 1649818006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1290 Summer St Ste 5100, Stamford, CT 06905-5339 | 2019-12-17 |
| 1720626328 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2 1/2 Dearfield Dr # 1, Greenwich, CT 06831-5335 | 2019-12-13 |
| 1568008118 | Enzo Clinical Labs, Inc. | Clinical Medical Laboratory | 4 Corporate Dr Ste 283, Shelton, CT 06484-6211 | 2019-11-19 |
| 1639713225 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2284 Berlin Turnpike, Newington, CT 06111-3202 | 2019-11-06 |
| 1174179972 | Dna Med Tuning | Clinical Medical Laboratory | 10 Jefferson St Unit C3, Hartford, CT 06106-2515 | 2019-08-16 |
| 1972163913 | New England Labs LLC | Clinical Medical Laboratory | 446 Main St Ste B, Monroe, CT 06468-1114 | 2019-06-20 |
| 1124536107 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3 Forest Pkwy, Shelton, CT 06484-6122 | 2018-01-12 |
| 1477060275 | Aurora Labs LLC | Clinical Medical Laboratory | 470 West Ave Ste 2005, Stamford, CT 06902-6359 | 2018-01-03 |
| 1235677659 | Coopergenomics,inc | Clinical Medical Laboratory | 75 Corporate Dr, Trumbull, CT 06611-1350 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.