CENTRAL CONNECTICUT LABORATORY CONSULTANTS, LLC (NPI# 1790218931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790218931 |
| Entity Type | Organization |
| Organization Name | CENTRAL CONNECTICUT LABORATORY CONSULTANTS, LLC |
| Practice Address |
100 Grand St New Britain CT 06052-2016 |
| Mailing Address |
Po Box 1426 New Haven CT 06506-1426 |
| Practice Telephone | 8602245900 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | DR. BARRY JACOBS (MANAGING PARTNER) |
| Authorized Official Telephone | 8602245900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
CT | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CENTRAL CONNECTICUT LABORATORY CONSULTANTS, LLC | 100 Grand St., New Britain, CT 06050 |
| Street Address |
100 GRAND ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526784 | Kathryn W Tierney | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2005-05-27 |
| 1528674629 | Alicja Jedrychowski | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-09-23 |
| 1366050411 | Casey Aivano | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-07-15 |
| 1689297418 | Amanda Catherine Ehresman | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-05-27 |
| 1679194633 | Zachary Russo | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-30 |
| 1912526765 | Cristina Melinda Decrosta | Social Worker | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-13 |
| 1467071696 | Natali R Senocak | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-08 |
| 1346879608 | Najwan Augustin | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1346879616 | Christopher J Dipollina | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1861021263 | Rosanne M Zandvliet | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922056928 | Lisa Laird | Pathology | 100 Grand St, New Britain, CT 06052-2016 | 2006-05-04 |
| 1588612584 | Barry Jacobs | Pathology | 100 Grand St, New Britain, CT 06052-2016 | 2006-05-04 |
| 1891743894 | Harold Sanchez | Pathology | 100 Grand St, New Britain, CT 06052-2016 | 2006-05-04 |
| 1437117678 | Lakshmi Sarma | Pathology | 100 Grand St, New Britain, CT 06052-2016 | 2006-05-03 |
| 1497713135 | David Krugman | Pathology | 100 Grand St, New Britain, CT 06052-2016 | 2006-05-03 |
| 1003874686 | Alexander Vdovenko | Pathology | 100 Grand St, New Britain, CT 06052-2016 | 2006-05-03 |
| 1588622591 | Central Connecticut Pathology Consultants, P.C. | Pathology | 100 Grand St, New Britain, CT 06052-2016 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730625856 | Karen Blomquist | Pathology | 43 Essex Ln, Woodbury, CT 06798-2631 | 2017-01-12 |
| 1508244070 | Pallavi Patil | Pathology | 20 York St # Ep2-612, New Haven, CT 06510-3220 | 2015-05-15 |
| 1477968261 | Chen Yang | Pathology | 310 Cedar St # Lh108, New Haven, CT 06510 | 2014-06-30 |
| 1023436029 | Physicians for Women's Health, LLC | Pathology | 22 Waterville Rd, Avon, CT 06001-2066 | 2014-04-07 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1841557949 | Lewis Morton Portnoy | Pathology | 10 Linda Ln, Westport, CT 06880-3945 | 2012-04-13 |
| 1730475963 | Patricia Marie Raciti | Pathology | Greenwich Hospital, 5 Perryridge Road, Greenwich, CT 06830 | 2011-06-27 |
| 1538452594 | Lois Wurzel | Pathology | 77 Bayberry Hill Rd, Avon, CT 06001-2800 | 2011-05-24 |
| 1134377344 | Andrew Stuart Radow | Pathology | 16 Lawton Dr, Simsbury, CT 06070-2725 | 2008-08-29 |
| 1699937748 | Heather Mary Carney | Pathology | 2800 Main, Dept. of Pathology, Bridgeport, CT 06606-4201 | 2008-06-30 |
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| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on CENTRAL CONNECTICUT LABORATORY CONSULTANTS, LLC.
| 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.