Hartford Healthcare Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CL-0385 Issued in CT

Legal business name

HARTFORD HEALTHCARE LABORATORIES

Practice address

129 Patricia M Genova Dr
Newington, CT 06111-1543

Phone

(860) 696-8010

Fax

(860) 665-1979

NPI assigned

Mar 15, 2006

Last updated

Apr 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Teena M Hyatt

Title

Revenue Cycle Director

Phone

(860) 696-8227

Specialties & licenses 1

Addresses

Other names 1

• CLINICAL LABORATORY PARTNERS Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations (25 of 30)

Practitioners 11

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.

• Randy Berke, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
  • NPI 1639272719
  NPD (past)
• Alison Birdsey, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterbury, CT
  • NPI 1609941681
  NPD (past)
• Cristina Elena Dinicu, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
  • NPI 1548352099
  NPD (past)
• Kimberly O Drakes, LNM

  • Advanced Practice Midwife
  • Southington, CT
  • NPI 1316373665
  NPD (past)
• Gene Freylikhman, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
  • NPI 1184727265
  NPD (past)
• Ihsan I Jabbour, M.D.

  • General Practice Physician
  • Waterbury, CT
  • NPI 1407899610
  NPD (past)
• Leonard Lippman, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
  • NPI 1902909088
  NPD (past)
• Polly Moran, CNM

  • Advanced Practice Midwife
  • Bristol, CT
  • NPI 1477656544
  NPD (past)
• Miwako Ohta-Agresta, CNM

  • Advanced Practice Midwife
  • Bristol, CT
  • NPI 1720181803
  NPD (past)
• Michael Joseph Santacroce, DMD

  • Dentist
  • Wallingford, CT
  • NPI 1982760005
  NPD (past)
• Anitha R Gowda, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1972534113
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1124097829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PATRICIA M GENOVA DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111543",
            "telephone_number": "860-696-8010",
            "fax_number": "860-665-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PATRICIA M GENOVA DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111543",
            "telephone_number": "860-696-8010",
            "fax_number": "860-665-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HEALTHCARE LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "TEENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "860-696-8227",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL-0385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICAL LABORATORY PARTNERS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kelly Haller-Gilmour, PT
• Holly Hamel, PT
• Cisalee Gene Harrell, APRN
• Shatona Harrison, LCSW
• Jennifer Hart, MSW
• Hartford Healthcare Rehabilitation Network
• Hartford Hospital
• Hartford Hospital D/B/a Cedar Mountain Commons (Cedar Mountain Commons)
• Natasha Froonjian Hartford, PHARMD
• Latonya Lynette Harts, MSW, LCSW

• Clinical Medical Laboratory in Newington, CT
• Providers in Newington, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.