Ksas Interamerican Lab. Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

889 Issued in PR

Legal business name

KSAS INTERAMERICAN LAB. INC.

Practice address

1 Calle Santa Rosa
Urb San Juan Gardens
San Juan, PR 00926-5403

Phone

(787) 756-7128

Fax

(787) 765-1996

NPI assigned

Jul 20, 2005

Last updated

Nov 2, 2009By 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

Ms. Carmen Lydia Arrieta

Title

Presidenta

Phone

(787) 796-2282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1487653481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCAL 1 CALLE SANTA ROSA",
            "address_2": "URB SAN JUAN GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-756-7128",
            "fax_number": "787-765-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE SANTA ROSA",
            "address_2": "URB SAN JUAN GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265403",
            "telephone_number": "787-756-7128",
            "fax_number": "787-765-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSAS INTERAMERICAN LAB. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "ARRIETA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "LYDIA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-796-2282",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in San Juan, PR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.