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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us