Labtech, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

SRL NO. 0714761 Issued in GU

Legal business name

LABTECH, INC.

Practice address

633 Gov. Carlos G. Camacho Road
Guam Medical Plaza, Suite 220
Tamuning, GU 96913

Phone

(671) 646-4678

Fax

(671) 646-4677

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Renerio Hernandez Ramos

Title

Pres. & General Manager

Phone

(671) 632-6000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013047315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11864",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969311864",
            "telephone_number": "671-632-6000",
            "fax_number": "671-632-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV. CARLOS G. CAMACHO ROAD",
            "address_2": "GUAM MEDICAL PLAZA, SUITE 220",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-4678",
            "fax_number": "671-646-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABTECH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "RENERIO",
        "authorized_official_middle_name": "HERNANDEZ",
        "authorized_official_title_or_position": "PRES. & GENERAL MANAGER",
        "authorized_official_telephone_number": "671-632-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GU",
            "license": "SRL NO. 0714761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L.G. Koffend, AU.D., CCC-A
• Claudia Kohlert-Schupp, PHD, RPH
• Hun Min Koo
• Da Hae Kwon
• Robert S Kyle III, PT
• Jerone Theodore Landstrom, M.D.
• Hannah Marie Sabo Laney, RBT
• Gabriel Christopher Mendoza Lapid, MD
• G Lark;N,, D.C.
• Angela Laygo

• Clinical Medical Laboratory in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Clinical Medical Laboratory in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.