Progressive Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

07D2090970 Issued in CT

Legal business name

PROGRESSIVE DIAGNOSTICS, LLC

Practice address

35 Nutmeg Dr
Suite 303
Trumbull, CT 06611-5431

Phone

(888) 503-8803

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Curt Kuliga

Title

Ceo

Phone

(888) 503-8803

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Harvey

  • Clinical Medical Laboratory
  • Trumbull, CT
  • NPI 1730565979
  NPD (past)
• Chamila Niroshana Rupasinghe

  • Clinical Laboratory Director (Non-physician)
  • Trumbull, CT
  • NPI 1043088974
  NPD (past)

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1245607480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NUTMEG DR",
            "address_2": "SUITE 303",
            "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 303",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115431",
            "telephone_number": "888-503-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "07D2090970",
            "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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.