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MC DIAGNOSTIC OF CONNECTICUT P.C. NPI 1386821932


NPI Information

NPI: 1386821932
Provider Name: MC DIAGNOSTIC OF CONNECTICUT, P.C.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 07D1074425

Address:
323 CROMWELL AVE
ROCKY HILL, CT
ZIP 06067
Phone: (866) 389-2727
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MC DIAGNOSTIC OF CONNECTICUT, P.C. is a family nurse practitioner in Rocky Hill, CT. MC DIAGNOSTIC OF CONNECTICUT, P.C. NPI is 1386821932. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

323 CROMWELL AVE
ROCKY HILL, CT
ZIP 06067-801
Phone: (866) 389-2727
Fax: (401) 406-3539

The provider's authorized official is Deborah Pincince .
The authorized official title is Administrator and has the following contact phone number (401) 770-3813.

The CLIA number assigned to this NPI record is 07D1074425 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2008 and was last updated on 12/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DO1751OTHERCONNECTICUTMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.