NPIMap

Organization Active NPI

Laboratorio Clinico North Main

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1699791194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
679 Issued in PR
Legal business name
LABORATORIO CLINICO NORTH MAIN
Practice address
31-15 Ave North Main
Bayamon, PR 00961-4328
Phone
(787) 798-6776
Fax
(787) 269-1875
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kimberly J Whitlock
Title
Director
Phone
(787) 743-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 679 PR Primary

Addresses

Primary practice location

31-15 Ave North Main
Bayamon, PR 00961-4328

Mailing address

2 Calle Baldorioty
Caguas, PR 00725-2606
Phone (787) 743-0330

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Bairoa6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31-15 Ave North Main
Bayamon, PR 00961
Phone (787) 798-6776

2 Calle Baldorioty
Caguas, PR 00725
Phone (787) 743-0330

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699791194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-743-0330",
            "fax_number": "787-744-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-15 AVE NORTH MAIN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614328",
            "telephone_number": "787-798-6776",
            "fax_number": "787-269-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO NORTH MAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-743-0330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.