NPIMap

Organization Active NPI

Laboratorio Clinico Bairoa Inc

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1366413932
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
502 Issued in PR
Legal business name
LABORATORIO CLINICO BAIROA INC
Practice address
Bairoa Ave
Bairoa Shopping Center C-2Aveave
Caguas, PR 00725-1586
Phone
(787) 746-1536
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Karen D Whitlock
Title
Director
Phone
(787) 743-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 502 PR Primary

Addresses

Primary practice location

Bairoa Ave
Bairoa Shopping Center C-2Aveave
Caguas, PR 00725-1586

Mailing address

2 Calle Baldorioty
Caguas, PR 00725-2606
Phone (787) 743-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000213 PR Part B Supplier - Independent Clinical Laboratory 3678547270 Practice locations: Bayamon, PR; Caguas, PR; Gurabo, PR; San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Bairoa6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1366413932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-743-0330",
            "fax_number": "787-744-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAIROA AVE",
            "address_2": "BAIROA SHOPPING CENTER C-2AVEAVE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251586",
            "telephone_number": "787-746-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BAIROA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-743-0330"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.