NPIMap

Organization Active NPI

Laboratorio Clinico Y Bacteriologico Genesis

  • Clinical Medical Laboratory
  • Guayama, PR
National Provider Identifier
1649522699
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1075 Issued in PR
Legal business name
LABORATORIO CLINICO Y BACTERIOLOGICO GENESIS
Practice address
Carr Num 54 KM 0.9 Machete
Suite 108 Edif la Fuente Town Center
Guayama, PR 00784
Phone
(787) 866-6470
Fax
(787) 866-6471
NPI assigned
Oct 15, 2012
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO Y BACTERIOLOGICO, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Mr. Luis Manuel Carrasquillo
Title
Manager
Phone
(787) 839-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1075 PR Primary

Addresses

Primary practice location

Carr Num 54 KM 0.9 Machete
Suite 108 Edif la Fuente Town Center
Guayama, PR 00784

Mailing address

Edif. la Fuente Town Center Suite 108
Carr. Num. PR 54, KM 0.9 Machete
Guayama, PR 00784
Phone (787) 866-6470

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Y Bacteriologico Genesis II3 organizations share this tax ID, including this one
Part of
Laboratorio Clinico Y Bacteriologico Genesis II

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": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1649522699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF. LA FUENTE TOWN CENTER SUITE 108",
            "address_2": "CARR. NUM. PR 54, KM 0.9 MACHETE",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-6470",
            "fax_number": "787-866-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR NUM 54 KM 0.9 MACHETE",
            "address_2": "SUITE 108 EDIF LA FUENTE TOWN CENTER",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-6470",
            "fax_number": "787-866-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO Y BACTERIOLOGICO GENESIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO Y BACTERIOLOGICO, INC.",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-839-9393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.