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COLLABORATIVE LABORATORY SERVICES-MOUNT SINAI CAMPUS NPI 1841208345


NPI Information

NPI: 1841208345
Provider Name: COLLABORATIVE LABORATORY SERVICES-MOUNT SINAI CAMPUS
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 07D2136676

Address:
114 WOODLAND ST
HARTFORD, CT
ZIP 06105
Phone: (860) 714-2802
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COLLABORATIVE LABORATORY SERVICES-MOUNT SINAI CAMPUS is a clinical medical laboratory in Hartford, CT. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. COLLABORATIVE LABORATORY SERVICES-MOUNT SINAI CAMPUS NPI is 1841208345. The provider is registered as an organization entity type.

The provider's business location address is:

114 WOODLAND ST
HARTFORD, CT
ZIP 06105-208
Phone: (860) 714-2802

The provider's authorized official is Donald Straceski .
The authorized official title is Vice President Of Financial Manage and has the following contact phone number (860) 714-4609.

The CLIA number assigned to this NPI record is 07D2136676 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/22/2020.


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
1291U00000XClinical Medical LaboratoryCL-0625CONNECTICUTYes

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
12V4067OTHERCONNECTICUTHEALTHNET

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: 4/28/2024

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