Laboratorio Clinico Jariselle P.S.C

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO JARISELLE P.S.C

Practice address

Carr 167 KM 10.6
Bo Dajaos
Bayamon, PR 00956

Phone

(787) 730-1195

NPI assigned

Dec 10, 2020

Organization subpart

Yes

Parent organization

LABORATORIO CLINICO JARISELLE PSCAs reported in NPPES

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

Authorized official

Name

Bridget Jarinelle Vazquez

Title

President

Phone

(787) 730-7777

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO JARISELLE II Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Jariselle P.S.C

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1154754752

  O20081223000621

  Same enrollment
• Bridget Jarinelle Vazquez, MT

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1316193147

  O20081223000621

  Same enrollment

Tax ID family

Laboratorio Clinico Jariselle PSC2 organizations share this tax ID, including this one

Part of

Laboratorio Clinico Jariselle PSC

Other organizations with this tax ID 1

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

• Laboratorio Clinico Jariselle P.S.C

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1154754752
  NPD tax ID

Locations

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1083210470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 10728-1",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009536453",
            "telephone_number": "787-730-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 167 KM 10.6",
            "address_2": "BO DAJAOS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-730-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO JARISELLE P.S.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO JARISELLE PSC",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "JARINELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-730-7777"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO JARISELLE II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO JARISELLE II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico Dr. Cajigas, Inc.
• Laboratorio Clinico Dy-Matos, Inc.
• Laboratorio Clinico Especializado
• Laboratorio Clinico Galeria Santa Cruz,Inc.
• Laboratorio Clinico Garnier, LLC
• Laboratorio Clinico Marie-E, Inc.
• Laboratorio Clinico Marie-E, Inc.
• Laboratorio Clinico Marielys Inc
• Laboratorio Clinico Marielys, Inc
• Laboratorio Clinico Martin Inc

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Mar 3, 2021; 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.

Verify at the official NPI Registry.