Organization Active NPI

Laboratorio Clinico Paoli, Inc

  • Clinical Medical Laboratory
  • Fajardo, PR
National Provider Identifier
1245298736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
218 Issued in PR
Legal business name
LABORATORIO CLINICO PAOLI, INC
Practice address
10 Union St.
Fajardo Medical Plaza Suite 101
Fajardo, PR 00738-1181
Phone
(787) 863-9090
Fax
(787) 863-3257
NPI assigned
May 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Armibella Paoli Garcia, MT
Title
Director
Phone
(787) 863-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 218 PR Primary

Addresses

Primary practice location

10 Union St.
Fajardo Medical Plaza Suite 101
Fajardo, PR 00738-1181

Mailing address

PO Box 1181
Fajardo, PR 00738-1181
Phone (787) 863-9090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245298736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1181",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381181",
            "telephone_number": "787-863-9090",
            "fax_number": "787-863-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION ST.",
            "address_2": "FAJARDO MEDICAL PLAZA SUITE 101",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381181",
            "telephone_number": "787-863-9090",
            "fax_number": "787-863-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PAOLI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAOLI GARCIA",
        "authorized_official_first_name": "ARMIBELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-863-9090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.