WALLINGFORD ENDOSCOPY CENTER, LLC (Credential# 1607253) is licensed (Out-patient Surgical Facility) with Connecticut Department of Consumer Protection. The license effective date is October 11, 2018. The license expiration date date is September 30, 2020. The license status is ACTIVE.
WALLINGFORD ENDOSCOPY CENTER, LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #ASC.0000360. The credential type is out-patient surgical facility. The effective date is October 11, 2018. The expiration date is September 30, 2020. The business address is 863 North Main Street Extension, Suite 300, Wallingford, CT 06492. The current status is active.
| Licensee Name | WALLINGFORD ENDOSCOPY CENTER, LLC |
| Business Name | WALLINGFORD ENDOSCOPY CENTER, LLC |
| Doing Business As | WALLINGFORD ENDOSCOPY CENTER, LLC |
| Credential ID | 1607253 |
| Credential Number | ASC.0000360 |
| Credential Type | Out-Patient Surgical Facility |
| Business Address |
863 North Main Street Extension, Suite 300 Wallingford CT 06492 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-12 |
| Effective Date | 2018-10-11 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2018-10-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1607252 | ASC.0000359 | Out-Patient Surgical Facility | - | CLOSED |
| Business ID | 1214937 |
| Business Name | WALLINGFORD ENDOSCOPY CENTER, LLC |
| Business Address | 863 NORTH MAIN STREET EXTENSION, WALLINGFORD, CT 06492 |
| Mailing Address | 863 NORTH MAIN STREET EXTENSION, WALLINGFORD, CT 06492 |
| Registration Date | 2016-08-22 |
| State Citizenship | Domestic / CT |
| Business Status | Active |
| Agent Name | HARTFORD HEALTHCARE CORPORATION |
| Agent Business Address | LEGAL DEPARTMENT, 85 JEFFERSON STREET, HARTFORD, CT 06106 |
| Street Address | 863 NORTH MAIN STREET EXTENSION, SUITE 300 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Out-Patient Surgical Facility |
| License Type + County | Out-Patient Surgical Facility + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ct Gi Endoscopy Center LLC · Ct Gi Endoscopy Center, LLC | 4 Northwestern Dr, Bloomfield, CT 06002-3444 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
| Shoreline Endoscopy Center, LLC | 800 Boston Post Rd Bldg 1, Guilford, CT 06437-2747 | Out-patient Surgical Facility | 2018-09-20 ~ 2020-06-30 |
| Endoscopy Center of Connecticut LLC · Endoscopy Center of Connecticut, LLC | 1591 Boston Post Rd, Guilford, CT 06437-4335 | Out-patient Surgical Facility | 2018-10-01 ~ 2020-09-30 |
| Evergreen Endoscopy Center LLC · Evergreen Endoscopy Center, LLC | 2400 Tamarack Ave Ste 100, South Windsor, CT 06074-5556 | Out-patient Surgical Facility | 2019-01-01 ~ 2020-12-31 |
| Endoscopy Center of Connecticut LLC · Endoscopy Center of Connecticut, LLC | 2200 Whitney Ave, Hamden, CT 06518-3691 | Out-patient Surgical Facility | 2020-01-01 ~ 2021-12-31 |
| Middlesex Endoscopy Center LLC · Middlesex Endoscopy Center, LLC | 410 Saybrook Rd Ste 200, Middletown, CT 06457-4777 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
| Diagnostic Endoscopy LLC · Diagnostic Endoscopy Center | 778 Long Ridge Rd, Stamford, CT 06902-1265 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
| Glastonbury Endoscopy Center LLC · Glastonbury Endoscopy Center, LLC | 300 Western Blvd Ste 100, Glastonbury, CT 06033-4305 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
| Endoscopy Center of Northwest Connecticut LLC · Endoscopy Center of Northwest Connecticut, LLC | 245 Alvord Park Rd Ste B, Torrington, CT 06790-3493 | Out-patient Surgical Facility | 2020-01-01 ~ 2021-12-31 |
| Fairfield County Endoscopy Center | 888 White Plains Rd, Trumbull, CT 06611-4552 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).