Clinical Laboratory Services of Quebradillas, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

561 Issued in PR

Legal business name

CLINICAL LABORATORY SERVICES OF QUEBRADILLAS, INC

Doing business as

Laboratorio Clinico Monroig

Practice address

Calle Francisco Avila
113
Quebradillas, PR 00678

Phone

(787) 895-3076

Fax

(787) 895-3076

NPI assigned

Nov 13, 2013

Last updated

Nov 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Elliot Morales, APA

Title

President

Phone

(787) 432-1376

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO MONROIG Doing business as

Tax ID family

Clinical Laboratory Services of Quebradillas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinical Laboratory Services of Quebradillas, Inc.

  dba Laboratorio Clinico La Victoria

  • Clinical Medical Laboratory
  • San Sebastian, PR
  • NPI 1891228680
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1063842995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2387",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742387",
            "telephone_number": "787-895-3076",
            "fax_number": "787-895-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FRANCISCO AVILA",
            "address_2": "113",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-3076",
            "fax_number": "787-895-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LABORATORY SERVICES OF QUEBRADILLAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-432-1376",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO MONROIG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.