NPIMap

Organization Active NPI

Laboratorio Clinico Y Bacteriologico Genesis II

  • Clinical Medical Laboratory
  • Patillas, PR
National Provider Identifier
1174803894
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1226 Issued in PR
Legal business name
LABORATORIO CLINICO Y BACTERIOLOGICO GENESIS II
Practice address
Carr Num 3
KM 122 HM 6
Patillas, PR 00723
Phone
(787) 839-9393
Fax
(787) 839-9344
NPI assigned
Aug 25, 2011
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO Y BACTERIOLOGICO GENESIS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Mr. Luis Manuel Carrasquillo
Title
Manager
Phone
(787) 839-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1226 PR Primary

Addresses

Primary practice location

Carr Num 3
KM 122 HM 6
Patillas, PR 00723

Mailing address

PO Box 986
Patillas, PR 00723-0986
Phone (787) 839-9393

Other identifiers 1

IdentifierTypeStateIssuer
0031132OtherPRMEDICARE ID-TYPE UNSPECIFIED

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Gen3 organizations share this tax ID, including this one
Part of
Laboratorio Clinico Gen

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1174803894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230986",
            "telephone_number": "787-839-9393",
            "fax_number": "787-839-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR NUM 3",
            "address_2": "KM 122 HM 6",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-9393",
            "fax_number": "787-839-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO Y BACTERIOLOGICO GENESIS II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO Y BACTERIOLOGICO GENESIS INC.",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-839-9393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "0031132",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.