Laboratorio Gadiel, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1199 Issued in PR

Legal business name

LABORATORIO GADIEL, INC

Practice address

'Puerto Rico 2 KM 133.5
Center Plex Suite 304
Aguada, PR 00602

Phone

(787) 868-5438

Fax

(787) 868-0180

NPI assigned

Mar 26, 2010

Last updated

Jun 2, 2010By 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

Lizzninothcka Arce, MT, ASCP

Title

Administrator

Phone

(939) 969-1438

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1649594128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CALLE CENTRAL",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-5438",
            "fax_number": "787-868-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "'PUERTO RICO 2 KM 133.5",
            "address_2": "CENTER PLEX SUITE 304",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-5438",
            "fax_number": "787-868-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO GADIEL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "ARCE",
        "authorized_official_first_name": "LIZZNINOTHCKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "939-969-1438",
        "authorized_official_credential": "MT, ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Aguada, PR
• Providers in Aguada, 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 2, 2010; 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.