Meditech Clinical Laboratories Inc
Organization Active NPI Clinical Medical Laboratory · Rio Grande, PR
NPI 1124287834 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1124287834
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- MEDITECH CLINICAL LABORATORIES INC
- Practice address
- Carr PR 3 KM 31.5 Bo Palmer
Marginal 141 Num 98
Rio Grande, PR 00721 - Phone
- (787) 602-6602
- NPI assigned
- Jun 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Diana Londono, MT
- Title
- Medical Technologist/President
- Phone
- (787) 602-6602
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090810000535 | PR | Part B Supplier - Independent Clinical Laboratory | 0840344842 | Practice locations: Luquillo, PR; Palmer, PR |
National Provider Directory
- Tax ID family
- Laboratorio Clinico Meditech
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | PR | Yes |
Addresses
Primary practice location
Carr PR 3 KM 31.5 Bo Palmer
Marginal 141 Num 98
Rio Grande, PR 00721
Mailing address
PO Box 445
Palmer, PUERTO RICO 00721
UM
Phone (787) 602-6602
Other practice location 1
KM 36.2 Ave 65 Infanteria
Luquillo, PR 00773
Phone (787) 889-0500
Other names
- Laboratorio Clinico Meditech
Other providers in Rio Grande, PR
- Medicos Aliados del Noreste
- Edanilka Medina Sustache
- David J Medina
- Frankie T Medina
- Yadymariz Medina
- Carlos Mejia
- Cristina Michelle Mena Zambrana
- Roberto E Mera Lastra
- Limary Mercado
- Ruth A. Molina Badillo
All providers in Rio Grande, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.