Laboratorio Clinico Roxell Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

384 Issued in PR

Legal business name

LABORATORIO CLINICO ROXELL INC

Practice address

104 Calle Font Martelo E
Humacao, PR 00791-3946

Phone

(787) 852-2680

Fax

(787) 852-6443

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ann Borecki, MT

Title

Director

Phone

(787) 852-2680

Specialties & licenses 1

Addresses

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": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1558339366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CALLE FONT MARTELO E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007918500",
            "telephone_number": "787-852-2680",
            "fax_number": "787-852-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CALLE FONT MARTELO E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913946",
            "telephone_number": "787-852-2680",
            "fax_number": "787-852-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ROXELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BORECKI",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-852-2680",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Humacao, PR
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.