Organization
BRIDGEPORT HOSPITAL
Active
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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