City Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1241 Issued in PR

Legal business name

CITY LAB INC

Doing business as

Laboratorio Clinico City Lab

Practice address

Ave 65TH Infanteria Centro Comercial Plaza Iturregui
# 10
San Juan, PR 00924

Phone

(787) 750-7923

Fax

(787) 281-0393

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Colon, RN

Title

Administrator

Phone

(787) 750-7923

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LABORATORIO CLINICO CITY LAB Doing business as

Locations

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1275817561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 ARTERIAL HOSTOS",
            "address_2": "SUITE 303",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181475",
            "telephone_number": "787-750-7923",
            "fax_number": "787-281-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 65TH INFANTERIA CENTRO COMERCIAL PLAZA ITURREGUI",
            "address_2": "# 10",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-750-7923",
            "fax_number": "787-281-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-750-7923",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D2024597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO CITY LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Luis V Clas, M.D.

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 Oct 5, 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.