Active NPI
Laboratorio Clinico Gaudier Inc.
- Clinical Medical Laboratory
- Mayaguez, PR
National Provider Identifier
1033180328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 0048
- Legal business name
- LABORATORIO CLINICO GAUDIER INC.
- Practice address
- 3 Calle de Diego E
Mayaguez, PR 00680-4811 - Phone
- (787) 832-0348
- Fax
- (787) 831-6766
- NPI assigned
- Jan 27, 2006
- Last updated
- Apr 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carmen Isabel Gaudier
- Title
- Owner / Lab. Administrator
- Phone
- (787) 832-0348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 0048 | PR | Primary |
Addresses
Primary practice location
3 Calle de Diego E
Mayaguez, PR 00680-4811
Mailing address
3 Calle de Diego E
Mayaguez, PR 00680-4811
Phone (787) 832-0348
Other names 1
- Laboratorio Gaudier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080225000499 | PR | Part B Supplier - Independent Clinical Laboratory | 1355425794 | Practice locations: Mayaguez, PR |
National Provider Directory
National Provider DirectoryLocations
3 Calle de Diego E
Mayaguez, PR 00680
Phone (787) 832-0348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1033180328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CALLE DE DIEGO E",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804811",
"telephone_number": "787-832-0348",
"fax_number": "787-831-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CALLE DE DIEGO E",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804811",
"telephone_number": "787-832-0348",
"fax_number": "787-831-6766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO GAUDIER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-27",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "GAUDIER",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "ISABEL",
"authorized_official_title_or_position": "OWNER / LAB. ADMINISTRATOR",
"authorized_official_telephone_number": "787-832-0348",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "0048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Gaudier",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mayaguez, PR
- Labchems Corp
- Laboratorio Angel Jelly Goyco
- Laboratorio Clinico Baco Stat - Labi
- Laboratorio Clinico Baco Stat-Lab II
- Laboratorio Clinico El Mani
- Laboratorio Clinico Hormigueros LLC
- Laboratorio Clinico Hormigueros LLC (LABORATORIO CLINICO HORMIGUEROS LLC/MAS Clinical Lab)
- Laboratorio Clinico Irizarry Guasch
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Irizarry Guasch Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.