Empresas Radian, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1040 Issued in PR

Legal business name

EMPRESAS RADIAN, INC.

Doing business as

Laboratorio Clinico Cupey Gardens

Practice address

# 200, Cupey Gardens St.
Plaza Cupey Gardens, Suite 4E
San Juan, PR 00926

Phone

(787) 283-1348

Fax

(787) 283-4329

NPI assigned

Nov 3, 2006

Last updated

Jul 25, 2022By 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. Radames Pellot, MS, MT(ASCP)

Title

President

Phone

(787) 283-1348

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laboratorio Clinico Cupey Gardens Doing business as

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1083793517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# 200, CUPEY GARDENS ST.",
            "address_2": "PLAZA CUPEY GARDENS, SUITE 4E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-283-1348",
            "fax_number": "787-283-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 200, CUPEY GARDENS ST.",
            "address_2": "PLAZA CUPEY GARDENS, SUITE 4E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-283-1348",
            "fax_number": "787-283-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESAS RADIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "PELLOT",
        "authorized_official_first_name": "RADAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-283-1348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037409900",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Cupey Gardens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Cupey Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 Jul 25, 2022; 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.