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Contact Information

GREATER BRIDGEPORT DIAGNOSTICS LLC
2800 MAIN ST
BRIDGEPORT, CT06606-4201
 Phone: 203-576-5032
 Fax: 203-576-5034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GREATER BRIDGEPORT DIAGNOSTICS LLC

NPI # 1497126205
LBN Legal business name GREATER BRIDGEPORT DIAGNOSTICS LLC
Authorized official EUGENE LEWIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2015
Last updated 10/20/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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