NPIMap

Organization Active NPI

Laboratorio Clinico Irizarry Guasch Inc

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1083709141
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
304 Issued in PR
Legal business name
LABORATORIO CLINICO IRIZARRY GUASCH INC
Practice address
Calle de Diego #51
Mayaguez, PR 00680
Phone
(787) 833-0470
Fax
(787) 265-1166
NPI assigned
Oct 4, 2006
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO IRIZARRY GUASCH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Jose Rafael Sanchez
Title
President
Phone
(787) 899-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 304 PR Primary

Addresses

Primary practice location

Calle de Diego #51
Mayaguez, PR 00680

Mailing address

PO Box 125
Lajas, PR 00667
Phone (787) 899-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000500 PR Part B Supplier - Independent Clinical Laboratory 3476646597 23 other NPIs on this enrollment
Practice locations: Mayaguez, PR; Ponce, PR; Sabana Grande, PR; Salinas, PR; San Sebastian, PR; Santa Isabel, PR; Yauco, PR; San German, PR…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Irizarry Guasch25 organizations share this tax ID, including this one
Part of
Laboratorio Irizarry Guasch

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1083709141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-7222",
            "fax_number": "787-899-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO #51",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-0470",
            "fax_number": "787-265-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO IRIZARRY GUASCH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO IRIZARRY GUASCH INC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-899-7222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.