Progressive Diagnostics One, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

07D2090968 Issued in CT

Legal business name

PROGRESSIVE DIAGNOSTICS ONE, LLC

Practice address

35 Nutmeg Dr
Suite 305
Trumbull, CT 06611-5431

Phone

(888) 503-8803

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Curt Kuliga

Title

Ceo

Phone

(888) 503-8803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1205203379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NUTMEG DR",
            "address_2": "SUITE 305",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115431",
            "telephone_number": "888-503-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NUTMEG DR",
            "address_2": "SUITE 305",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115431",
            "telephone_number": "888-503-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DIAGNOSTICS ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "KULIGA",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-503-8803"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "07D2090968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Trumbull, CT
• Providers in Trumbull, 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 Nov 18, 2016; 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.