Laboratorio Clinico Dorado Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

486 Issued in PR

Legal business name

LABORATORIO CLINICO DORADO INC

Practice address

#109 Elisa Valle
Dorado, PR 00646-2733

Phone

(787) 796-2644

Fax

(787) 796-1025

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Myrta Ivonne Marin, MT

Title

Laboratory Director

Phone

(787) 796-2644

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1316935927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#109 ELISA VALLE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462733",
            "telephone_number": "787-796-2644",
            "fax_number": "787-796-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#109 ELISA VALLE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462733",
            "telephone_number": "787-796-2644",
            "fax_number": "787-796-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DORADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "MYRTA",
        "authorized_official_middle_name": "IVONNE",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-796-2644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0658077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orley Johnson, M.D.
• Scharie T Jordan, DMD
• Marta Klachko Longo, M.D.
• Kyrohealthpc
• L & a Doctors LLC
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• Laboratorio Clinico Espinosa Inc
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• Laboratorio Clinico Kikita LLC
• Laboratorio Clinico Laracuente

• Clinical Medical Laboratory in Dorado, PR
• Providers in Dorado, 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 Aug 6, 2014; 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.