Individual provider Active NPI

Michael Harvey

  • Clinical Medical Laboratory
  • Trumbull, CT
National Provider Identifier
1730565979
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
07D2090970 Issued in CT
Practice address
35 Nutmeg Dr
Suite 303
Trumbull, CT 06611-5431
Phone
(617) 599-8287
NPI assigned
Aug 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 07D2090970 CT Primary

Addresses

Primary practice location

35 Nutmeg Dr
Suite 303
Trumbull, CT 06611-5431

Mailing address

35 Nutmeg Dr
Suite 303
Trumbull, CT 06611-5431
Phone (617) 599-8287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
07D2090970CTMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Diagnostics, LLC Clinical Medical Laboratory Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1730565979",
    "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": "617-599-8287"
        },
        {
            "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": "617-599-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "07D2090970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.