Organization
BRIDGEPORT HOSPITAL
Active
Other names
Lab Specimen Bridgeport Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVIS (EXEC DIR REVENUE CYCLE)
(203) 836-1094
Entity
Organization
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
100 CHURCH ST S # MCS2, NEW HAVEN, CT 06519-1703
(203) 688-8411
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
12/02/2025
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