NPIMap

Organization Active NPI

Mayaguez Clinical Lab, Inc.

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1386340693
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MAYAGUEZ CLINICAL LAB, INC.
Practice address
Basora 55
Suite 106
Mayaguez, PR 00680
Phone
(787) 832-4376
Fax
(787) 827-9300
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Eric M Mas
Title
President
Phone
(787) 832-4376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Basora 55
Suite 106
Mayaguez, PR 00680

Mailing address

Peral 27
Suite 107
Mayaguez, PR, PR 00680
Phone (787) 832-4376

Other names 1

  • MAS Clinical Labs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mayaguez Clinical Lab Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1386340693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PERAL 27",
            "address_2": "SUITE 107",
            "city": "MAYAGUEZ, PR",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-4376",
            "fax_number": "787-827-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASORA 55",
            "address_2": "SUITE 106",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-4376",
            "fax_number": "787-827-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYAGUEZ CLINICAL LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "MAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-832-4376"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAS Clinical Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAS Clinical Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.