UNIVERSITY OF CONNECTICUT (NPI# 1972964989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972964989 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CONNECTICUT |
| Other Organization Name | UCONN STUDENT HEALTH LAB |
| Practice Address |
234 Glenbrook Rd Unit 4011 Storrs CT 06269-4011 |
| Practice Telephone | 8604860730 |
| Practice Fax Number | 8604864076 |
| Mailing Telephone | 8604860730 |
| Mailing Fax Number | 8604864076 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | DR. JEFFREY ANDERSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8604860765 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CL-0378 | CT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CLIA | 07D0716469 | 01 |
| CT | LABORATORY LICENSE | CL-0378 | 01 |
| Other Name | Type Code |
|---|---|
| UConn Student Health Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114011830 | University of Connecticut | Audiologist | 850 Bolton Road, Unit 1085, Storrs, CT 06269-1085 | 2006-10-03 |
| 1588000160 | University of Connecticut | General Acute Care Hospital | 270 Farmington Ave, Farmington, CT 06032-1994 | 2013-05-22 |
| 1851649222 | University of Connecticut | Counselor | 234 Glenbrook Rd, Uconn-cmhs, Storrs, CT 06269-4011 | 2012-08-16 |
| 1912278961 | University of Connecticut | Clinic/Center | 24 Park Pl, Apt# 14k, Hartford, CT 06106-5008 | 2012-01-23 |
| 1487788196 | University of Connecticut | Pharmacy | 234 Glenbrook Rd, Unit 4011, Storrs Mansfield, CT 06269-9099 | 2007-03-15 |
| 1639225410 | University of Connecticut | Clinic/Center | 843 Bolton Road, U-1249, Storrs Mansfield, CT 06269-1249 | 2007-01-26 |
| Street Address |
234 GLENBROOK RD UNIT 4011 |
| City | STORRS |
| State | CT |
| Zip Code | 06269-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248760 | Coryn B Clark | Clinical Nurse Specialist | 234 Glenbrook Rd Unit 4011, Storrs, CT 06269-4011 | 2005-10-11 |
| 1548681927 | Chetan Joshi | Psychologist | 234 Glenbrook Rd Unit 4011, Storrs, CT 06269-4011 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422955 | Kathleen Martin | Specialist/Technologist | 505 Jim Calhoun Way, Storrs Mansfield, CT 06269 | 2017-12-13 |
| 1295254340 | Siobhan Ashley Gaston | Nurse Practitioner | 337 Mansfield Rd Unit 1255, Storrs, CT 06269 | 2017-09-10 |
| 1275058802 | Erika Lindsey Vuernick | Pharmacist | 69 N Eagleville Rd Unit 3092, Storrs, CT 06269 | 2017-08-04 |
| 1831722081 | Kirsty Coulter | Student in an Organized Health Care Education/Training Program | 406 Unit 1020 Babbidge Rd, Storrs, CT 06269-0001 | 2020-02-17 |
| 1275175465 | Rolando Rivera | Student in an Organized Health Care Education/Training Program | Storrs Connecticut, Storrs, CT 06269-0001 | 2019-10-09 |
| 1679050744 | Noelle Marie Delorme | Audiologist | U-1085 Bolton Road, Storrs, CT 06269-0001 | 2018-07-23 |
| 1487155248 | Andres Tomas Almeraya | Specialist/Technologist | 2110 Hillside Rd #1078r, Storrs, CT 06269-0001 | 2018-02-26 |
| 1184152795 | Hayley O'connell | Specialist/Technologist | Uconn, Storrs, CT 06269-0001 | 2017-05-25 |
| 1376691550 | Kristine Poet Ridyard | Nurse Practitioner | University of Ct Student Health Services, 234 Glenbrook Drive Unit 2011, Storrs Mansfield, CT 06269-0001 | 2007-01-06 |
| 1871524280 | Martha S Sternberg | Pediatrics | Uconn Student Health Services, 234 Glenbrook Road, Storrs Mansfield, CT 06269-0001 | 2006-07-05 |
| Find all providers in zip 06269 | ||||
| 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. |
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|---|---|---|---|---|
| 1033734215 | Dot Laboratories, Inc. | Clinical Medical Laboratory | 780 E Main St Ste 1, Branford, CT 06405-2956 | 2020-06-12 |
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| 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.