Laboratorio Clinico Analitico Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

437 Issued in PR

Legal business name

LABORATORIO CLINICO ANALITICO INC

Practice address

1326 Calle Salud
Ste 309
Ponce, PR 00717-1686

Phone

(787) 290-4024

Fax

(787) 842-5327

NPI assigned

Oct 19, 2005

Last updated

Aug 22, 2020By 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

Alma Carrasquillo, ASCP

Title

President and Laboratory Director

Phone

(787) 290-4024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467441782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CALLE SALUD",
            "address_2": "STE 309",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171686",
            "telephone_number": "787-290-4024",
            "fax_number": "787-842-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CALLE SALUD",
            "address_2": "STE 309",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171686",
            "telephone_number": "787-290-4024",
            "fax_number": "787-842-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ANALITICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "PRESIDENT AND LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-290-4024",
        "authorized_official_credential": "ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "30334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.