Ponce Clinical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

273 Issued in PR

Legal business name

PONCE CLINICAL LABORATORY, INC.

Practice address

609 Tito Castro Ave
Suite 101
Ponce, PR 00716-0206

Phone

(787) 841-4846

Fax

(787) 841-5238

NPI assigned

Sep 27, 2013

Last updated

Sep 27, 2013By 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. Grycel Rosado, M.T

Title

Lcda / Owner

Phone

(787) 841-4846

Specialties & licenses 1

Addresses

Tax ID family

Ponceclinical Laboratory in2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ponce Clinical Laboratory, Inc.

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1639893175
  NPD tax ID

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1326475948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TITO CASTRO AVE",
            "address_2": "SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160206",
            "telephone_number": "787-841-4846",
            "fax_number": "787-841-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 TITO CASTRO AVE",
            "address_2": "SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160206",
            "telephone_number": "787-841-4846",
            "fax_number": "787-841-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE CLINICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "GRYCEL",
        "authorized_official_title_or_position": "LCDA / OWNER",
        "authorized_official_telephone_number": "787-841-4846",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponce Area Medical Equipment and Supply Corp
• Ponce Brain Health Institute LLC
• Ponce Cardiology Group, P. S. C. (Ponce Cardiology Group)
• Ponce Cardiovascular Services, PSC
• Ponce Clinical Laboratory, Inc.
• Ponce Clinical Laboratory, Inc.
• Ponce Conductual
• Ponce Dental Group
• Ponce Diagnostic Radiology Center CSP
• Ponce Eye Med Institute LCC

• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, 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 Sep 27, 2013; 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.