Laboratorio Clinico Las Tunas, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1104 Issued in PR

Legal business name

LABORATORIO CLINICO LAS TUNAS, INC.

Practice address

Carr 121 KM 3.6
Urb Las Tunas
Sabana Grande, PR 00637

Phone

(787) 873-0564

Fax

(787) 873-0564

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Delis Arzola, MT, ASCP

Title

President

Phone

(787) 873-0564

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1477560936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561679",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006564119",
            "telephone_number": "787-873-0564",
            "fax_number": "787-873-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 121 KM 3.6",
            "address_2": "URB LAS TUNAS",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-873-0564",
            "fax_number": "787-873-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LAS TUNAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "ARZOLA",
        "authorized_official_first_name": "DELIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-873-0564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT, ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR LICENCE LABORATORY",
            "identifier": "1104",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D1046215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lentes Y Un Cafe
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• Clinical Medical Laboratory in Sabana Grande, PR
• Providers in Sabana Grande, 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 Jul 10, 2014; 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.