Organization
PRIME HEALTHCARE IOD
Active
Parent organization
PRIME HEALTHCARE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE, PC
Authorized official
SERENA ANN KIMBALL (DIRECTOR OF CODING AND COMPLIANCE)
(860) 263-0256
Entity
Organization
Contact information
Practice address
6 NORTHWESTERN DR STE 101, BLOOMFIELD, CT 06002-3416
(860) 580-5656
(860) 580-5799
Mailing address
6 NORTHWESTERN DR STE 101, BLOOMFIELD, CT 06002-3416
(860) 580-5656
(860) 580-5799
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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