Organization Active NPI

Elite Hematopathology, LLC

  • Clinical Medical Laboratory
  • Carolina, PR
National Provider Identifier
1417224940
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1278 Issued in PR
Legal business name
ELITE HEMATOPATHOLOGY, LLC
Practice address
1075 Calle Marginal Villamar
Suite 3
Carolina, PR 00979-6300
Phone
(787) 945-7796
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Wilfredo Blasini
Title
President
Phone
(787) 945-7796

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZH0000X
Clinical Medical Laboratory 291U00000X 1278 PR Primary

Addresses

Primary practice location

1075 Calle Marginal Villamar
Suite 3
Carolina, PR 00979-6300

Mailing address

1075 Calle Marginal Villamar
Suite 3
Carolina, PR 00979-6300

National Provider Directory

National Provider Directory

Locations

1075 Marginal Villamar
Ste 3
Carolina, PR 00979
Phone (787) 299-1118

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1417224940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CALLE MARGINAL VILLAMAR",
            "address_2": "SUITE 3",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CALLE MARGINAL VILLAMAR",
            "address_2": "SUITE 3",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796300",
            "telephone_number": "787-945-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEMATOPATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "BLASINI",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-945-7796",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.