Clinical Laboratory Solution, PSC

Organization Active NPI Clinical Medical Laboratory · Vega Alta, PR

NPI 1962727610 · NPPES record last updated Apr 6, 2010

Key facts

NPI
1962727610
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
CLINICAL LABORATORY SOLUTION, PSC
Practice address
Carr PR 2 KM30.4 Parcelas Carmen
7-A Barrio Espinosa
Vega Alta, PR 00692
Phone
(787) 528-7083
NPI assigned
Apr 6, 2010
Organization subpart
No

Authorized official

Name
Mrs. Yaritzi Aponte, M.T.
Title
Supervisor
Phone
(787) 528-1086

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110207000183 PR Part B Supplier - Independent Clinical Laboratory 7719167972 Practice locations: Vega Alta, PR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X PR Yes

Addresses

Primary practice location

Carr PR 2 KM30.4 Parcelas Carmen
7-A Barrio Espinosa
Vega Alta, PR 00692

Mailing address

Calle Alondra 339
Urb.Los Monte
Dorado, PR 00646
Phone (787) 398-9433

Other identifiers

IdentifierTypeStateIssuer
10-027OtherPRCNC
62150OtherPRREGISTRO DE COMERCIANTES
4989OtherREGISTRO

Other providers in Vega Alta, PR

All providers in Vega Alta, PR · Clinical Medical Laboratory in Puerto Rico

Sources for this page

Verify at the official NPI Registry.