NPI Details
WAXALI INC is a clinical medical laboratory in Toa Alta, PR. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. WAXALI INC NPI is 1154603546. The provider is registered as an organization entity type.
The provider Is Doing Business As Laboratorio Clinico Isla Centro Toa Alta.
The provider's business location address is:
RIO DEL PLATA MALL,URB JARDINES DE TOA ALTA,CALLE # 1
SUITE # 8
TOA ALTA, PR
ZIP 00953
Phone: (787) 545-3200
Fax: (787) 545-3201
The provider's authorized official is Jose L Collazo-rosado .
The authorized official title is President and has the following contact phone number (787) 869-1111.
The enumeration date for this NPI number is 9/13/2011 and was last updated on 5/12/2014.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | 1248 | PUERTO RICO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1248 | OTHER | PUERTO RICO | LICENCIA ESTATAL PUERTO RICO |
| 2 | 0038245 | MEDICARE PIN | PUERTO RICO | |
| 3 | 40D2027377 | OTHER | PUERTO RICO | CLIA |
| 4 | 11-025 | OTHER | PUERTO RICO | CERTIFICADO DE NECESIDAD Y CONVENIENCIA |
