PROF. JOSEPH KULLBERG (NPI# 1366812703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366812703 |
| Entity Type | Individual |
| Full Name | PROF. JOSEPH KULLBERG |
| Practice Address |
12 Coachlight Cir Prospect CT 06712-1564 |
| Practice Telephone | 2035217040 |
| Mailing Telephone | 2035217040 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 5867 | CT | Laboratories |
| Street Address |
12 COACHLIGHT CIR |
| City | PROSPECT |
| State | CT |
| Zip Code | 06712-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679746440 | Debra Anne Hudobenko | Social Worker | 40 Union City Rd Ste 2b, Prospect, CT 06712 | 2008-04-11 |
| 1831230739 | Jeffrey Paul Dalessandro | Pharmacist | Ezpharm Pharmacy, 166 Waterbury Rd, Prospect, CT 06712 | 2007-02-12 |
| 1497817464 | Kenneth Robert Capozzi | Dentist | 2 Summit Rd, Prospect, CT 06712 | 2006-12-15 |
| 1821160961 | Jeremy August | Psychiatry & Neurology | 39a Waterbury Road, Prospect, CT 06712 | 2006-11-14 |
| 1831260850 | Thomas J Deluca | Optometrist | 67 Waterbury Rd, Prospect, CT 06712 | 2006-11-13 |
| 1578648606 | Renika N Mcleod-labissiere | Family Medicine | 115 Waterbury Road, Prospect, CT 06712 | 2006-10-26 |
| 1750461836 | Eye Care Associates | Optometrist | 67 Waterbury Road, Prospect, CT 06712 | 2006-10-16 |
| 1124123948 | Carmelita Viega Rifkin | Physical Therapist | 93 Waterbury Rd, Prospect, CT 06712 | 2006-09-14 |
| 1033167804 | Greater Waterbury Primary Care Assoc | Internal Medicine | 166 Waterbury Road, Ste 300, Prospect, CT 06712 | 2006-05-04 |
| 1730141730 | Amy Y Tso | Ophthalmology | 166 Waterbury Rd., Suite 201, Prospect, CT 06712 | 2006-04-05 |
| Find all providers in zip 06712 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548462070 | Quest Diagnostics LLC | Clinical Medical Laboratory | 166 Waterbury Rd, Prospect, CT 06712-1200 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734215 | Dot Laboratories, Inc. | Clinical Medical Laboratory | 780 E Main St Ste 1, Branford, CT 06405-2956 | 2020-06-12 |
| 1649818006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1290 Summer St Ste 5100, Stamford, CT 06905-5339 | 2019-12-17 |
| 1720626328 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2 1/2 Dearfield Dr # 1, Greenwich, CT 06831-5335 | 2019-12-13 |
| 1568008118 | Enzo Clinical Labs, Inc. | Clinical Medical Laboratory | 4 Corporate Dr Ste 283, Shelton, CT 06484-6211 | 2019-11-19 |
| 1639713225 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2284 Berlin Turnpike, Newington, CT 06111-3202 | 2019-11-06 |
| 1174179972 | Dna Med Tuning | Clinical Medical Laboratory | 10 Jefferson St Unit C3, Hartford, CT 06106-2515 | 2019-08-16 |
| 1972163913 | New England Labs LLC | Clinical Medical Laboratory | 446 Main St Ste B, Monroe, CT 06468-1114 | 2019-06-20 |
| 1124536107 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3 Forest Pkwy, Shelton, CT 06484-6122 | 2018-01-12 |
| 1477060275 | Aurora Labs LLC | Clinical Medical Laboratory | 470 West Ave Ste 2005, Stamford, CT 06902-6359 | 2018-01-03 |
| 1235677659 | Coopergenomics,inc | Clinical Medical Laboratory | 75 Corporate Dr, Trumbull, CT 06611-1350 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.