Laboratorio Clinico Sepulveda

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

6617 Issued in PR

Legal business name

LABORATORIO CLINICO SEPULVEDA

Doing business as

Laboratorio Clinico Sepulveda

Practice address

63 Calle Mendez Vigo W
Suite 6a
Mayaguez, PR 00680-2802

Phone

(787) 833-8606

Fax

(787) 831-2328

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Isabel Asad, MT

Title

Owner

Phone

(787) 833-8606

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Sepulveda Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isabel Asad Perez, MT

  • Other Technician
  • Mayaguez, PR
  • NPI 1487758652
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1235295874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3063",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813063",
            "telephone_number": "787-833-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CALLE MENDEZ VIGO W",
            "address_2": "SUITE 6A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006802802",
            "telephone_number": "787-833-8606",
            "fax_number": "787-831-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SEPULVEDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "ASAD",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-833-8606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "6617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Sepulveda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico la Monserrate Corp.
• Laboratorio Clinico la Monserrate Corp.
• Laboratorio Clinico MHC El Litoral
• Laboratorio Clinico Patologico de Oeste
• Laboratorio Clinico Ramos
• Laboratorio Clinico Y Bacteriologico de Diego
• Laboratorio DSM Rum
• Laboratorio Frontera
• Laboratorio Ortopedico Protesico de P.R.
• Laboratorio Vascular No Invasivo

• Clinical Medical Laboratory in Mayaguez, PR
• Providers in Mayaguez, 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 Jun 30, 2008; 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.