EASTERN VALLEY CLINICAL LABORATORIES, INC.


Address: Carr 976 Km 2.7, Bo Florencio, Fajardo, PR 00738
Phone: 7876557755

EASTERN VALLEY CLINICAL LABORATORIES, INC. (NPI# 1760789556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760789556
Entity Type Organization
Organization Name EASTERN VALLEY CLINICAL LABORATORIES, INC.
Other Organization Name LABORATORIO CLINICO EASTERN VALLEY
Practice Address Carr 976 Km 2.7
Bo Florencio
Fajardo
PR 00738
Mailing Address 10 Calle Icacos
The Village At The Hill
Ceiba
PR 00735-3902
Practice Telephone 7876557755
Practice Fax Number 7876557755
Mailing Telephone 7873984758
Mailing Fax Number 7876557755
Enumeration Date 2011-02-15
Last Update Date 2011-05-25
Authorized Official Name ELISA B PACHECO (MEDICAL TECHNOLOGIST)
Authorized Official Telephone 7876557755
Authorized Official Credential MS, MT (ASCP)
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 1233 PR Laboratories

Other Provider/Organization Names

Other Name Type Code
Laboratorio Clinico Eastern Valley Other Name - Individual/Organization

Office Location

Street Address CARR 976 KM 2.7
BO FLORENCIO
City FAJARDO
State PR
Zip Code 00738

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1518235613 Laboratorio Clinico Monte Sol, LLC Clinical Medical Laboratory Road #3 Km. 49.7, Monte Sol Shopping Center Suite 106, Fajardo, PR 00738 2011-12-05
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1225222532 Quest Diagnostics of Puerto Rico Inc Clinical Medical Laboratory 10 Calle Union E, Fajardo, PR 00738-4817 2007-08-29
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1245298736 Laboratorio Clinico Paoli, Inc Clinical Medical Laboratory 10 Union St., Fajardo Medical Plaza Suite 101, Fajardo, PR 00738-1181 2006-05-03
1740247253 Laboratorio Clinico Fajardo, Inc. Clinical Medical Laboratory 40 Carr 194, Ste. 100 Fdo. Cinema Bldg, Fajardo, PR 00738-2940 2006-04-27
1093999070 F&m Radiologist, Csp Clinical Medical Laboratory 316 Ave Gen Valero, Fajardo, PR 00738-4848 2007-12-26
1790909265 Laboratorio Clinico Y De Referencia De Fajardo, Inc. Clinical Medical Laboratory 303 General Valero Ave, Fajardo, PR 00738-7006 2007-04-13
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City FAJARDO
Zip Code 00738

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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