Laboratorio Clinilab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

915 Issued in PR

Legal business name

LABORATORIO CLINILAB, INC.

Practice address

#222 Ave. Los Atleticos de San German
Barrio Retiro
San German, PR 00683

Phone

(787) 892-0520

Fax

(787) 892-0520

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Tania C Chico, M.T.

Title

President

Phone

(787) 892-0520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinilab Other name

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1669558656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#222 AVE. LOS ATLETICOS DE SAN GERMAN",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#222 AVE. LOS ATLETICOS DE SAN GERMAN",
            "address_2": "BARRIO RETIRO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-0520",
            "fax_number": "787-892-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINILAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "CHICO",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-892-0520",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "915",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinilab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laboratorio Clinico Migrant San German
• Laboratorio Clinico Nazarry Inc
• Laboratorio Clinico Ortiz Rosado
• Laboratorio Clinico Sangermeno Principal
• Laboratorio Clinico Sofia
• Juan A Lameiro, MD
• Juan J Laracuente Reyes
• Victoria S. Larrieux Villanueva, PHD
• Harvey Lebron, M.D.
• Ernesto Licort Garcia, MEDICO

• Clinical Medical Laboratory in San German, PR
• Providers in San German, 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 12, 2008; 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.