New Britain Sleep Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEW BRITAIN SLEEP LABORATORY, LLC

Practice address

1 Lake St
Suite 305
New Britain, CT 06052-1396

Phone

(860) 770-6748

Fax

(860) 656-7627

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Genovesi

Title

Ceo

Phone

(860) 770-6748

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Connecticut Sleep Lab Doing business as

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.

• Kevin W Watson, MD

  • Pulmonary Disease Physician
  • New Britain, CT
  • NPI 1205891280
  NPD
• Michael G. Genovesi, M.D.

  • Pulmonary Disease Physician
  • New Britain, CT
  • NPI 1013913995
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649388208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE LAKE STREET",
            "address_2": "SUITE 305",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "06052",
            "telephone_number": "860-770-6748",
            "fax_number": "860-656-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKE ST",
            "address_2": "SUITE 305",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521396",
            "telephone_number": "860-770-6748",
            "fax_number": "860-656-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRITAIN SLEEP LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENOVESI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-770-6748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "40G",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4249919",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9574485",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IV1003",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "662355",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7416696",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Sleep Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• New Britain Radiological Assoc.,PC
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• New Britain School District
• New Britain Urological Group PC
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• New England Mind Clinic
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• Clinical Medical Laboratory in New Britain, CT
• Providers in New Britain, 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.
• 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.