Organization Active NPI

Laboratorio Cardona Lamela, Inc.

  • Clinical Medical Laboratory
  • Isabela, PR
National Provider Identifier
1811937287
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
201 Issued in PR
Legal business name
LABORATORIO CARDONA LAMELA, INC.
Practice address
94A Calle San Antonio
Suite #1
Isabela, PR 00662-2955
Phone
(787) 872-2175
Fax
(787) 872-2175
NPI assigned
Jun 7, 2006
Last updated
Feb 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Ethel B Cardona, M.T.
Title
Director
Phone
(787) 872-2175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 201 PR Primary

Addresses

Primary practice location

94A Calle San Antonio
Suite #1
Isabela, PR 00662-2955

Mailing address

P.O. Box 487
Isabela, PR 00662-0487
Phone (787) 872-2175

Other names 1

  • Laboratorio Clinico Cardona Lamela Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000310 PR Part B Supplier - Independent Clinical Laboratory 0143480707 Practice locations: Isabela, PR

National Provider Directory

National Provider Directory

Locations

94 Calle San Antonio
#1
Isabela, PR 00662
Phone (787) 872-2175

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1811937287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 487",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620487",
            "telephone_number": "787-872-2175",
            "fax_number": "787-872-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94A CALLE SAN ANTONIO",
            "address_2": "SUITE #1",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622955",
            "telephone_number": "787-872-2175",
            "fax_number": "787-872-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CARDONA LAMELA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-872-2175",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Cardona Lamela Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.