NPI 1710870696
Prime Healthcare Iod
Practice location
- Address
- 6 Northwestern Dr STE 101, Bloomfield, CT 06002-3416
- Phone
- (860) 580-5656
- Fax
- (860) 580-5799
Authorised official
- Name
- Serena Ann Kimball
- Title
- Director of Coding and Compliance
- Phone
- (860) 263-0256
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1710870696
- Entity type
- Organization
- NPI issued
- 30 May 2025
- Record last updated
- 30 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.