First Clinical Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FIRST CLINICAL LAB

Practice address

1007 Ave Munoz Rivera
Cond Darlington L-13
San Juan, PR 00925

Phone

(787) 764-5073

Fax

(787) 753-0276

NPI assigned

Apr 3, 2007

Last updated

Mar 16, 2015By 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

Mr. Luis Morales Seda

Title

Presidente

Phone

(787) 764-5073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1932220928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 AVE MUNOZ RIVERA",
            "address_2": "COND DARLINGTON L-13",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252717",
            "telephone_number": "787-764-5073",
            "fax_number": "787-753-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 AVE MUNOZ RIVERA",
            "address_2": "COND DARLINGTON L-13",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-764-5073",
            "fax_number": "787-753-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLINICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "SEDA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MORALES",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-764-5073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 Mar 16, 2015; 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.