A & R Western Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

A & R WESTERN CLINICAL LABORATORY INC

Doing business as

Western Clinical Laboratory

Practice address

115 Street KM 11.1, Bo. Pueblo, Stella Com.
Rincon, PR 00677

Phone

(787) 823-6060

NPI assigned

Jan 3, 2008

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy L Ruiz, MT

Title

Medical Technologist

Phone

(787) 823-6060

Specialties & licenses 1

Addresses

Other names 1

• Western Clinical Laboratory Doing business as

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1912182437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020892",
            "telephone_number": "787-823-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STREET KM 11.1, BO. PUEBLO, STELLA COM.",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "787-823-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & R WESTERN CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-823-6060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Clinical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paola S Aguayo
• Julio Wilfrido Amott Evaly, MD
• Aps Healthcare
• Emanuel Gerardo Arbelo Figueroa, PT, DPT, CCI
• Coralys Barbara Baez

• Clinical Medical Laboratory in Rincon, PR
• Providers in Rincon, 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 Jun 13, 2008; 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.