Organization Active NPI

High Profile Laboratories Testing Services LLC

  • Clinical Medical Laboratory
  • Guaynabo, PR
National Provider Identifier
1003907346
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1081 Issued in PR
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

Updated by the provider on Jan 29, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.