NPI Details
LABORATORIO CLINICO COUNTRY CLUB is a clinical medical laboratory in San Juan, 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. LABORATORIO CLINICO COUNTRY CLUB NPI is 1437540671. The provider is registered as an organization entity type.
The provider's business location address is:
758 ROBERTO SANCHEZ VILELLA STREET
COUNTRY CLUB
SAN JUAN, PR
ZIP 00926
Phone: (787) 748-2580
Fax: (787) 257-1110
The provider's authorized official is Eugenio Roman .
The authorized official title is Administrator and has the following contact phone number (787) 748-4102.
The CLIA number assigned to this NPI record is 40D1006749 - independent with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Hemoglobin a1c level (HCPCS:83036)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Urine microalbumin (protein) level (HCPCS:82043)
The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.
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 | | 147 | PUERTO RICO | Yes |
