Milford Medical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CL-0502 Issued in CT

Legal business name

MILFORD MEDICAL LABORATORY, INC.

Practice address

2068 Bridgeport Ave
Milford, CT 06460-4634

Phone

(203) 876-7745

Fax

(203) 877-8319

NPI assigned

Jul 1, 2005

Last updated

Aug 22, 2020By 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

Mr. Paul E Moss

Title

President

Phone

(203) 876-4230

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508863713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604634",
            "telephone_number": "203-876-7745",
            "fax_number": "203-877-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604634",
            "telephone_number": "203-876-7745",
            "fax_number": "203-877-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD MEDICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-876-4230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL-0502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "CL-0502",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE ID NUMBER",
            "identifier": "721623",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milford Health Care Center,Inc.
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• Milford Markets LLC (Shoprite Pharmacy)
• Milford Medical Care Center PC
• Milford OB GYN Physicians P C
• Milford Pediatric Group, PC
• Milford Pharmacy and Home Care, Inc
• Milford Pharmacy and Home Care, Inc
• Milford Physician Services (Seaside OB-GYN of Milford)

• Clinical Medical Laboratory in Milford, CT
• Providers in Milford, 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 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.