NPIMap

Organization Active NPI

St of CT Dept. of Public Health Laboratory

  • Clinical Medical Laboratory
  • Hartford, CT
National Provider Identifier
1013027754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CL-0197 Issued in CT
Legal business name
ST OF CT DEPT. OF PUBLIC HEALTH LABORATORY
Practice address
10 Clinton St
Hartford, CT 06106-1624
Phone
(860) 509-8500
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Katherine Kelley
Title
Laboratory Director
Phone
(860) 509-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CL-0197 CT Primary

Addresses

Primary practice location

10 Clinton St
Hartford, CT 06106-1624

Mailing address

PO Box 1689
Hartford, CT 06144-1689
Phone (860) 509-8500

National Provider Directory

National Provider Directory
Tax ID family
Uncas in Thames Hospita74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013027754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061441689",
            "telephone_number": "860-509-8500",
            "fax_number": "860-509-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CLINTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061624",
            "telephone_number": "860-509-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST OF CT DEPT. OF PUBLIC HEALTH LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "860-509-8500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL-0197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.