Collaborative Laboratory Services-Bristol

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CL-0622 Issued in CT

Legal business name

COLLABORATIVE LABORATORY SERVICES-BRISTOL

Practice address

Brewster Road
Bristol, CT 06011

Phone

(860) 585-3000

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Valerie Powell-Stafford

Title

President

Phone

(860) 714-5387

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Tax ID family

Cobius Healthcare Solutions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Collaborative Laboratory Services LLC

  • Clinical Medical Laboratory
  • Hartford, CT
  • NPI 1629082920
  NPD tax ID
• Collaborative Laboratory Services-Mount Sinai Campus

  • Clinical Medical Laboratory
  • Hartford, CT
  • NPI 1841208345
  NPD tax ID

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1508948274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BREWSTER ROAD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BREWSTER ROAD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06011",
            "telephone_number": "860-585-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE LABORATORY SERVICES-BRISTOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "POWELL-STAFFORD",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-714-5387"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL-0622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MANAGED MEDICA",
            "identifier": "00422559700",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V4067",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004225597",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE/FIRST CHOIC",
            "identifier": "N211376",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "070CL0623CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "620109",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claudia K. Curiston, LCSW, LLC
• Jayne Candice Cluett, MD
• Talitha Coggins, MSW
• Benjamin William Cohen
• Rebecca Colasanto, LCSW
• Community Counseling Center of Central CT Inc
• Community Health Center Inc.
• Community Residences, Inc.
• Connecticut Advanced Spine LLC
• Connecticut Chiropractic Associates LLC

• Clinical Medical Laboratory in Bristol, CT
• Providers in Bristol, 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 Feb 17, 2026; 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.