St. Thomas Clinical Reference Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1348871L Issued in VI

Legal business name

ST. THOMAS CLINICAL REFERENCE LABORATORY

Practice address

Medical Complex
Suite No. 9 St Thomas
St Thomas, VI 00802-5735

Phone

(340) 774-6256

NPI assigned

Aug 19, 2016

Last updated

Dec 9, 2024By 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

Carlos A Gonzalez

Title

Presidente

Phone

(787) 246-4698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI

Enrollment records 1

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1407301401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL COMPLEX",
            "address_2": "SUITE NO. 3 ST THOMAS",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL COMPLEX",
            "address_2": "SUITE NO. 9 ST THOMAS",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025735",
            "telephone_number": "340-774-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THOMAS CLINICAL REFERENCE LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-246-4698"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VI",
            "license": "1348871L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Thomas Radiology Associates LLC
• St. Clair Institute, Inc.
• St. Croix Vision Center (Vision Center)
• St. Croix Vision Center (Vision Center)
• St. Croix Vision Center (Vision Center)
• St. Thomas Community Health Outpatient Clinic
• Cathryn Stauffer, RD, CNSD
• Janessa Lynn Steil, OTD, OTR/L
• Kevin Phillip Stewart, M.D.
• Wendy Wilson Stiles

• Clinical Medical Laboratory in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Clinical Medical Laboratory in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.