Laboratorio Clinico la 100 Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1044 Issued in PR

Legal business name

LABORATORIO CLINICO LA 100 INC

Practice address

2301 Carr 100
Suite 103
Cabo Rojo, PR 00623-4445

Phone

(787) 255-0100

Fax

(787) 851-0100

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Aracelys Morales, MT

Title

President

Phone

(787) 255-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1083619019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CARR 100",
            "address_2": "SUITE 103",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234445",
            "telephone_number": "787-255-0100",
            "fax_number": "787-851-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CARR 100",
            "address_2": "SUITE 103",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234445",
            "telephone_number": "787-255-0100",
            "fax_number": "787-851-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LA 100 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ARACELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-255-0100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonaliz Lisboa
• Zammarie D Lopez-Rivera, M.D.

• Clinical Medical Laboratory in Cabo Rojo, PR
• Providers in Cabo Rojo, 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 Oct 7, 2010; 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.