NPIMap

Organization Active NPI

Clinical Laboratory Services of Manati, Inc

  • Clinical Medical Laboratory
  • Manati, PR
National Provider Identifier
1497278816
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
684 Issued in PR
Legal business name
CLINICAL LABORATORY SERVICES OF MANATI, INC
Practice address
Marginal B19
Urb Flamboyan
Manati, PR 00674
Phone
(787) 854-5660
Fax
(787) 884-0084
NPI assigned
Jul 18, 2017
Organization subpart
Yes
Parent organization
CLINICAL LABORATORY SERVICES OF MANATI, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
Mr. Elliot Morales, APA
Title
President/Ceo
Phone
(787) 432-1376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 684 PR Primary

Addresses

Primary practice location

Marginal B19
Urb Flamboyan
Manati, PR 00674

Mailing address

PO Box 2387
Manati, PR 00674-2387
Phone (787) 884-5886

Other identifiers 1

IdentifierTypeStateIssuer
CC278AMedicaidPR

Other names 1

  • Laboratorio Clinico Manati II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinical Laboratory Services of Manati Inc3 organizations share this tax ID, including this one
Part of
Clinical Laboratory Services of Manati Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1497278816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2387",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742387",
            "telephone_number": "787-884-5886",
            "fax_number": "787-884-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARGINAL B19",
            "address_2": "URB FLAMBOYAN",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-5660",
            "fax_number": "787-884-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LABORATORY SERVICES OF MANATI, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICAL LABORATORY SERVICES OF MANATI, INC",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "787-432-1376",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CC278A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Manati II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Manati II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.