Laboratorio Clinico Sebastian Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1108 Issued in PR

Legal business name

LABORATORIO CLINICO SEBASTIAN INC

Practice address

Carretera 723
Asomante
Aibonito, PR 00705-1317

Phone

(787) 735-1179

Fax

(787) 735-0454

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Sandra Ivette Dejesus

Title

Mt(Ascp)/Owner

Phone

(787) 735-1173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1891743522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1317",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051317",
            "telephone_number": "787-735-1173",
            "fax_number": "787-735-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 723",
            "address_2": "ASOMANTE",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051317",
            "telephone_number": "787-735-1179",
            "fax_number": "787-735-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SEBASTIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "MT(ASCP)/OWNER",
        "authorized_official_telephone_number": "787-735-1173"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JM Medical Transport LLC
• Jose a Colon Martinez
• Jose Luis Key Oyola, OD
• Christian Andrew Knechtel, DC
• Laboratorio Clinico Rolmar Rivera
• Laboratorio Feram Inc
• Vicente Laboy Ramos, M.D.
• Manuel Laboy
• Ilianys Lasanta Ortiz
• LHM, C.S.P.

• Clinical Medical Laboratory in Aibonito, PR
• Providers in Aibonito, 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 Sep 23, 2010; 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.