Laboratorio Clinico Michelsan Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

812 Issued in PR

Legal business name

LABORATORIO CLINICO MICHELSAN INC

Practice address

Il32 Ave Carlos Javier Andaluz
Bayamon, PR 00956-2972

Phone

(787) 798-0980

Fax

(787) 798-0980

NPI assigned

Feb 19, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Ginette S Santiago, MT

Title

President

Phone

(787) 751-7255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Michelsan Inc

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1205013935

  O20080904000548

  Same enrollment

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1235479841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71325",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368425",
            "telephone_number": "787-751-7255",
            "fax_number": "787-274-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IL32 AVE CARLOS JAVIER ANDALUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009562972",
            "telephone_number": "787-798-0980",
            "fax_number": "787-798-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MICHELSAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "GINETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-751-7255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Marie-E, Inc.
• Laboratorio Clinico Marie-E, Inc.
• Laboratorio Clinico Marielys Inc
• Laboratorio Clinico Marielys, Inc (Laboratorio Clinico Marie-E)
• Laboratorio Clinico Martin Inc (Laboratorio Clinico Martin)
• Laboratorio Clinico Minillas Corp.
• Laboratorio Clinico Miraflores Inc
• Laboratorio Clinico North Main
• Laboratorio Clinico Principal Inc
• Laboratorio Clinico Pura Vida, LLP

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Feb 19, 2013; 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.