Illume Fertility, Pllc, NPI 1013179902
Ambulatory Fertility Facility in Norwalk, CT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1013179902
NPI Entity Type Organization
Provider Name Illume Fertility, Pllc
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 761 Main Ave, Suite 200, Norwalk, CT, US
Provider Mailing Address 761 Main Ave, Suite 200, Norwalk, CT, US, 068511080
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Robin Mangieri
Official Position CEO
Phone 203-750-7400

Primary Taxonomy

Taxonomy Code

261QA0006X

Taxonomy Name Ambulatory Fertility Facility
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

Other Organization Name

Ambulatory Surgical Center at Reproductive Medicine
Other Name

Business Address

Illume Fertility, Pllc
761 Main Ave
Suite 200

Norwalk, CT, US

Phone: 203-750-7400

Mailing Address

Illume Fertility, Pllc
761 Main Ave
Suite 200
Norwalk, CT, US
ZIP 068511080
Phone: 203-750-7400

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QA1903X

Ambulatory Health Care Facilities

Clinic/Center

0320 CT No

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