Organization
COLLABORATIVE LABORATORY SERVICES-BRISTOL
Active
Organization
COLLABORATIVE LABORATORY SERVICES-BRISTOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE POWELL-STAFFORD (PRESIDENT)
(860) 714-5387
Entity
Organization
Contact information
Practice address
BREWSTER ROAD, BRISTOL, CT 06011
(860) 585-3000
Mailing address
BREWSTER ROAD, BRISTOL, CT 06011
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL-0622
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004225597
—
CT
01
—
00422559700
BLUE CROSS MANAGED MEDICA
CT
01
—
070CL0623CT02
ANTHEM BLUE CROSS & BLUE
CT
01
—
2V4067
HEALTHNET
CT
01
—
620109
CONNECTICARE
CT
01
—
N211376
PREFERRED ONE/FIRST CHOIC
CT
Enumeration date
10/20/2006
Last updated
02/17/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up