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STATE OF CONNECTICUT NPI 1871095851


NPI Information

NPI: 1871095851
Provider Name: STATE OF CONNECTICUT

Doing Business As: UCONN HEALTH ANCILLARY SERVICES

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

CLIA Number: 07D2124716

Address:
850 BOLTON RD UNIT 1271
STORRS, CT
ZIP 06269
Phone: (860) 486-3108
Get Directions

STATE OF CONNECTICUT is a magnetic resonance imaging (mri) clinic center in Storrs, CT. STATE OF CONNECTICUT NPI is 1871095851. The provider is registered as an organization entity type.
The provider Is Doing Business As Uconn Health Ancillary Services.

The provider's business location address is:

850 BOLTON RD UNIT 1271
STORRS, CT
ZIP 06269-271
Phone: (860) 486-3108

The provider's authorized official is Morgan A Hills .
The authorized official title is Sr. Director Of Hospital Operations and has the following contact phone number (860) 679-7835.

The CLIA number assigned to this NPI record is 07D2124716 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2018 and was last updated on 2/26/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)CONNECTICUTYes

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: 5/5/2024

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