NPIMap

Organization Active NPI

Laboratorio Clinico del Sureste, Inc

Doing business as Laboratorio Clinico Colon

  • Clinical Medical Laboratory
  • Yabucoa, PR
National Provider Identifier
1659591824
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
216 Issued in PR
Legal business name
LABORATORIO CLINICO DEL SURESTE, INC
Doing business as
Laboratorio Clinico Colon
Practice address
34 Calle Luis Munoz Rivera
Yabucoa, PR 00767-3110
Phone
(787) 893-2595
Fax
(787) 893-2716
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Mrs. Yanire Castro
Title
Laboratory Supervisor
Phone
(787) 893-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 216 PR Primary

Addresses

Primary practice location

34 Calle Luis Munoz Rivera
Yabucoa, PR 00767-3110

Mailing address

PO Box 85
Yabucoa, PR 00767-0085
Phone (787) 893-2595

Other names 1

  • LABORATORIO CLINICO COLON Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000408 PR Part B Supplier - Independent Clinical Laboratory 7810095353 2 other NPIs on this enrollment
Practice locations: Caguas, PR; Humacao, PR; Manuabo, PR; Yabucoa, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico del Sureste Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1659591824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007670085",
            "telephone_number": "787-893-2595",
            "fax_number": "787-893-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CALLE LUIS MUNOZ RIVERA",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673110",
            "telephone_number": "787-893-2595",
            "fax_number": "787-893-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DEL SURESTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "YANIRE",
        "authorized_official_title_or_position": "LABORATORY SUPERVISOR",
        "authorized_official_telephone_number": "787-893-2595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO COLON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.