Laboratorio Clinico Los Colobos, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

952 Issued in PR

Legal business name

LABORATORIO CLINICO LOS COLOBOS, INC

Practice address

Ave 65 Infanteria Cinema Building 2 Piso
Suite 203 Los Colobos Shopping Center
Carolina, PR 00985

Phone

(787) 750-0973

Fax

(787) 750-0973

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Herminio Mendez, LCDO.

Title

Owner

Phone

(787) 750-0973

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1114933900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20000",
            "address_2": "PMB 142",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290042",
            "telephone_number": "787-750-0973",
            "fax_number": "787-750-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 65 INFANTERIA CINEMA BUILDING 2 PISO",
            "address_2": "SUITE 203 LOS COLOBOS SHOPPING CENTER",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-750-0973",
            "fax_number": "787-750-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LOS COLOBOS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "HERMINIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-750-0973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Jardines, Inc.
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• Laboratorio Clinico Metropolis
• Laboratorio Clinico Parque Escorial
• Laboratorio Clinico Plaza Carolina Inc
• Laboratorio Clinico Policlinica Dr Salvador Ribot Ruiz

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, 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 Sep 17, 2015; 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.