Administracion de la Laboratorio Clinico Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

212 Issued in PR

Legal business name

ADMINISTRACION DE LA LABORATORIO CLINICO INC

Doing business as

Laboratorio Clinico Rodriguez

Practice address

111 Calle Gonzalo Marin
Barrio Hato Abajo
Arecibo, PR 00612-4775

Phone

(787) 878-1717

Fax

(787) 878-1717

NPI assigned

Mar 6, 2007

Last updated

Jun 10, 2013By 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

Mrs. Edda Nunez, M.T.

Title

President

Phone

(787) 878-1717

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO RODRIGUEZ Doing business as

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1598895856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140297",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140297",
            "telephone_number": "787-878-1717",
            "fax_number": "787-878-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CALLE GONZALO MARIN",
            "address_2": "BARRIO HATO ABAJO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124775",
            "telephone_number": "787-878-1717",
            "fax_number": "787-878-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISTRACION DE LA LABORATORIO CLINICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "EDDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-878-1717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO RODRIGUEZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Arecibo, PR
• Providers in Arecibo, 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 Jun 10, 2013; 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.