Active NPIOrganization

Laboratorio Clinico Country Club

Clinical Medical Laboratory in San Juan, Puerto Rico

NPI Number1154308674
Practice location
#758 Ave Campo Rico, Country Club, San Juan, PR 00924
Fax
787-257-1110
Last updated
October 21, 2008

Laboratorio Clinico Country Club is a healthcare organization based in San Juan, PR. Laboratorio Clinico Country Club practices in San Juan, PR. The NPI Number for Laboratorio Clinico Country Club is 1154308674 and holds a License No. 147 (PR). The current practice location address for Laboratorio Clinico Country Club is #758 Ave Campo Rico, Country Club, San Juan, PR 00924 and can be reached out via phone at 787-750-0510 and via fax at 787-257-1110.

Provider Profile Details

NPI Number
1154308674
Provider Name
Laboratorio Clinico Country Club
Provider Entity Type
Organization
Address
#758 Ave Campo Rico, Country Club, San Juan, PR 00924
Phone Number
787-750-0510
Fax Number
787-257-1110
Primary Taxonomy
Clinical Medical Laboratory · 291U00000X
Organization Subpart
No
Authorized Official
Edwin Cardona, MT · Owner · 787-748-4102
Provider Enumeration Date
December 27, 2005
Last Update Date
October 21, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
#758 Ave Campo Rico
Country Club
San Juan, PR 00924
Zip
00924
Phone Number
787-750-0510
Fax Number
787-257-1110
San Juan, PR 00924Get directions →

Provider Business Mailing Address Details

Address
1353 Carr. #19
Pmb #364
Guaynabo, PR 00966-2701
City
Guaynabo
State
PR
Zip
00966-2701
Phone Number
787-750-0510
Fax Number
787-257-1110

License Information

License Number
147
License State
PR
Taxonomy
Clinical Medical Laboratory · 291U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Clinical Medical Laboratory providers near San Juan, PR

View all Clinical Medical Laboratory providers in San Juan →

Frequently Asked Questions

What is the NPI number of Laboratorio Clinico Country Club?

The NPI number of Laboratorio Clinico Country Club is 1154308674. It was assigned on December 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Laboratorio Clinico Country Club?

Laboratorio Clinico Country Club is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in PR under license number 147.

Where does Laboratorio Clinico Country Club practice?

The practice location is #758 Ave Campo Rico, Country Club, San Juan, PR 00924. The office can be reached at 787-750-0510 (phone) or 787-257-1110 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154308674 directly on the NPPES registry website.

Browse related providers