Laboratorio Clinico Canovanas Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

687 Issued in PR

Legal business name

LABORATORIO CLINICO CANOVANAS INC

Doing business as

Laboratorio Clinico Canovanas

Practice address

65 Calle Calderon Mujica
Frente Plaza de Recreo
Canovanas, PR 00729-3127

Phone

(787) 256-2422

Fax

(787) 256-2459

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gualberto Ortiz, MT

Title

President

Phone

(787) 256-2422

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Canovanas Doing business as

Locations

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1740443985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1182",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291182",
            "telephone_number": "787-256-2422",
            "fax_number": "787-256-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CALLE CALDERON MUJICA",
            "address_2": "FRENTE PLAZA DE RECREO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293127",
            "telephone_number": "787-256-2422",
            "fax_number": "787-256-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CANOVANAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "GUALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-256-2422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Canovanas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• KJ Renal LLC
• KR Canovanas
• Kystal Ambulance Corporation
• Laboratorio Clinico Bio Tech III Corporacion
• Laboratorio Clinico Canovanas
• Laboratorio Clinico Chegar Inc
• Laboratorio Clinico Chegar Inc
• Laboratorio Clinico Expreso
• Laboratorio Clinico Hnos Mikasobe,LLC
• Laboratorio Clinico Loiza Valley Inc.

• Clinical Medical Laboratory in Canovanas, PR
• Providers in Canovanas, 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 Jul 8, 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.