NPI Details
LABORATORIO CLINICO SAN ANTONIO is a clinical medical laboratory in San Sebastian, 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 SAN ANTONIO NPI is 1710176177. The provider is registered as an organization entity type.
The provider's business location address is:
1488 AVE EMERITO ESTRADA RIVERA
SAN SEBASTIAN, PR
ZIP 00685-023
Phone: (787) 896-1076
Fax: (787) 896-1076
The provider's authorized official is Maribel Gonzalez .
The authorized official title is Owner and has the following contact phone number (787) 896-1076.
The CLIA number assigned to this NPI record is 40D0951341 - other 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)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
The enumeration date for this NPI number is 10/22/2007 and was last updated on 2/8/2016.
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 | | 193 | 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 | Y17691 | MEDICARE UPIN | | |
