Active NPI
High Profile Laboratories Testing Services LLC
- Clinical Medical Laboratory
- Guaynabo, PR
National Provider Identifier
1003907346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1081
- Legal business name
- HIGH PROFILE LABORATORIES TESTING SERVICES LLC
- Practice address
- Carr 177 Ave Lomas Verdes
Suite 103 Edif Phoenix Clinica Los Americas
Guaynabo, PR 00969 - Phone
- (787) 720-0760
- Fax
- (787) 720-0763
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmen Ripoll
- Title
- Laboratory Director
- Phone
- (787) 720-0767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1081 | PR | Primary |
Addresses
Primary practice location
Carr 177 Ave Lomas Verdes
Suite 103 Edif Phoenix Clinica Los Americas
Guaynabo, PR 00969
Mailing address
PMB 355 Ave Esmeralda 405
Suite 2
Guaynabo, PR 00969-4457
Phone (787) 720-0760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040929000842 | PR | Part B Supplier - Independent Clinical Laboratory | 3577532282 | Practice locations: Bayamon, PR; Guaynabo, PR; Ponce, PR |
National Provider Directory
National Provider Directory- Tax ID family
- High Profile Laboratories Testing Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1609643972
Locations
1 Ave Casa Linda
#177
Bayamon, PR 00959
Phone (787) 720-0760
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1609643972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1003907346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 355 AVE ESMERALDA 405",
"address_2": "SUITE 2",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694457",
"telephone_number": "787-720-0760",
"fax_number": "787-720-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 177 AVE LOMAS VERDES",
"address_2": "SUITE 103 EDIF PHOENIX CLINICA LOS AMERICAS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-720-0760",
"fax_number": "787-720-0763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH PROFILE LABORATORIES TESTING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "RIPOLL",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "787-720-0767"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.