Active NPIIndividual providerSole proprietor

Jacob A Gonzalez, PCT, CET, CPT, BLS

Technician, Pathology, Phlebotomy in Stamford, Connecticut

NPI Number1326834185
Practice location
317 West Ave, #113197 Smb#82886, Stamford, CT 06911
Fax
—
Last updated
May 20, 2025

Jacob Allen Gonzalez is a Technician, Pathology, Phlebotomy based in Stamford, CT. Jacob Allen Gonzalez practices in Stamford, CT and has the professional credentials of PCT, CET, CPT, BLS. The NPI Number for Jacob Allen Gonzalez is 1326834185 and holds a License No. Electrocardiogram (CT). The current practice location address for Jacob Allen Gonzalez is 317 West Ave, #113197 Smb#82886, Stamford, CT 06911 and can be reached out via phone at 203-635-3548.

Provider Profile Details

NPI Number
1326834185
Provider Name
Jacob Allen Gonzalez
Credential
PCT, CET, CPT, BLS
Provider Entity Type
Individual
Gender
Male
Address
317 West Ave, #113197 Smb#82886, Stamford, CT 06911
Phone Number
203-635-3548
Primary Taxonomy
Technician, Pathology, Phlebotomy · 246RP1900X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2025
Last Update Date
May 20, 2025
Certification Date
May 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
317 West Ave
#113197 Smb#82886
Stamford, CT 06911
Zip
06911
Phone Number
203-635-3548
Stamford, CT 06911Get directions →

Provider Business Mailing Address Details

Address
317 West Ave
#113197 Smb#82886
Stamford, CT 06911
City
Stamford
State
CT
Zip
06911
Phone Number
203-635-3548

License Information

License State (1)
CT
Taxonomy (1)
Technician, Personal Care Attendant · 3747P1801X
License State (2)
CT
Taxonomy (2)
Home Health Aide · 374U00000X
License State (3)
CT
Taxonomy (3)
Technician, Pathology, Phlebotomy · 246RP1900X · Primary
License Number (4)
Electrocardiogram
License State (4)
CT
Taxonomy (4)
Technician · 374700000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacob A Gonzalez, PCT, CET, CPT, BLS?

The NPI number of Jacob A Gonzalez, PCT, CET, CPT, BLS is 1326834185. It was assigned on April 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Jacob A Gonzalez, PCT, CET, CPT, BLS?

Jacob A Gonzalez, PCT, CET, CPT, BLS is registered under the primary taxonomy Technician, Pathology, Phlebotomy (code 246RP1900X), licensed in CT under license number Electrocardiogram.

Where does Jacob A Gonzalez, PCT, CET, CPT, BLS practice?

The practice location is 317 West Ave, #113197 Smb#82886, Stamford, CT 06911. The office can be reached at 203-635-3548 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326834185 directly on the NPPES registry website.

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