NPIMap

Organization Active NPI

Clinical Laboratory Services of Quebradillas, Inc.

  • Clinical Medical Laboratory
  • San Sebastian, PR
National Provider Identifier
1891228680
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1242 Issued in PR
Legal business name
CLINICAL LABORATORY SERVICES OF QUEBRADILLAS, INC.
Doing business as
Laboratorio Clinico La Victoria
Practice address
Carr 446 KM 3.5
Bo Robles
San Sebastian, PR 00685
Phone
(787) 896-0503
Fax
(787) 896-0503
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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) 896-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1242 PR Primary

Addresses

Primary practice location

Carr 446 KM 3.5
Bo Robles
San Sebastian, PR 00685

Mailing address

PO Box 2387
Manati, PR 00674-2387
Phone (787) 896-0503

Other names 1

  • Laboratorio Clinico La Victoria Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinical Laboratory Services of Quebradillas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1891228680",
    "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": "787-896-0503",
            "fax_number": "787-896-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 446 KM 3.5",
            "address_2": "BO ROBLES",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-0503",
            "fax_number": "787-896-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LABORATORY SERVICES OF QUEBRADILLAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-896-0503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico La Victoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.