Clinical Laboratory Services of Manati, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

536 Issued in PR

Legal business name

CLINICAL LABORATORY SERVICES OF MANATI, INC.

Practice address

Carr #2 KM. 70.2
Bo. Domingo Ruiz
Arecibo, PR 00612-0477

Phone

(787) 881-2700

Fax

(787) 879-0358

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Elliot Morales, APA

Title

President

Phone

(787) 881-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laboratorio Clinico Medi Serv Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Clinical Laboratory Services of Manati, Inc

  • Clinical Medical Laboratory
  • Manati, PR
  • NPI 1619115755

  O20090827000714

  Same enrollment

Tax ID family

Clinical Laboratory Services of Manati Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Clinical Laboratory Services of Manati, Inc

  • Clinical Medical Laboratory
  • Manati, PR
  • NPI 1497278816
  NPD tax ID
• Clinical Laboratory Services of Manati, Inc

  • Clinical Medical Laboratory
  • Manati, PR
  • NPI 1619115755
  NPD tax ID

Locations

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1871836262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2387",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742387",
            "telephone_number": "787-881-2700",
            "fax_number": "787-879-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM. 70.2",
            "address_2": "BO. DOMINGO RUIZ",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120477",
            "telephone_number": "787-881-2700",
            "fax_number": "787-879-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LABORATORY SERVICES OF MANATI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-881-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CC278A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Medi Serv",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Francisco Juan Colmenares, M.D.
• Rolando Colon Martinez, M.D.
• Colon Medical Care Corp

• Clinical Medical Laboratory in Arecibo, PR
• Providers in Arecibo, 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 Apr 3, 2013; 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.