Laboratorio Blasor Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

104 Issued in PR

Legal business name

LABORATORIO BLASOR INC.

Practice address

8163 Calle Concordia
Suite 1
Ponce, PR 00717-1551

Phone

(787) 842-6161

Fax

(787) 843-6111

NPI assigned

May 11, 2006

Last updated

Aug 22, 2020By 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

Mrs. Irma Gerena, MT

Title

Director

Phone

(787) 842-6161

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083664171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8163 CALLE CONCORDIA",
            "address_2": "SUITE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171551",
            "telephone_number": "787-842-6161",
            "fax_number": "787-843-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8163 CALLE CONCORDIA",
            "address_2": "SUITE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171551",
            "telephone_number": "787-842-6161",
            "fax_number": "787-843-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO BLASOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERENA",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-842-6161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "30017",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lab Clinico Y Referencia Escuela Medicina Ponce
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• Laboratorio Clinico Analitico Inc
• Laboratorio Clinico Clausells
• Laboratorio Clinico Coliseo Inc
• Laboratorio Clinico El Tuque, Inc

• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, 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 Aug 22, 2020; 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.