Organization Active NPI

Laboratorio Clinico Bairoa

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1144404450
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1130 Issued in PR
Legal business name
LABORATORIO CLINICO BAIROA
Practice address
Carr. PR1, KM. 38.6, Esq. Calle 10, Bo. Bairoa
Caguas, PR 00725-2658
Phone
(787) 747-0777
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Ms. Kimberly J Whitlock
Title
Director
Phone
(787) 744-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1130 PR Primary

Addresses

Primary practice location

Carr. PR1, KM. 38.6, Esq. Calle 10, Bo. Bairoa
Caguas, PR 00725-2658

Mailing address

2 Calle Baldorioty
Caguas, PR 00725-2606
Phone (787) 744-0330

Other names 1

  • Laboratorio Clinico Borinquen-Caguas Ralph Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Bairoa6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1144404450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-744-0330",
            "fax_number": "787-258-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. PR1, KM. 38.6, ESQ. CALLE 10, BO. BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252658",
            "telephone_number": "787-747-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BAIROA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-744-0330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Borinquen-Caguas Ralph",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.