Laboratorio Clinic Omaris Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1053 Issued in PR

Legal business name

LABORATORIO CLINIC OMARIS INC

Practice address

Carr PR-2 KM 86 HM 2 Calle Marginal
262 Suite 4
Hatillo, PR 00659

Phone

(787) 262-7071

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Yomari Basco, BS MT ASCP

Title

Owner

Phone

(787) 262-7071

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinic Omaris, Inc

  • Clinical Medical Laboratory
  • Hatillo, PR
  • NPI 1316481211

  O20140421001572

  Same enrollment

Tax ID family

Lab Clinico Omarys2 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.

• Laboratorio Clinic Omaris, Inc

  • Clinical Medical Laboratory
  • Hatillo, PR
  • NPI 1316481211
  NPD tax ID

Locations

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.

• Laboratorio Clinic Omaris, Inc

  • Clinical Medical Laboratory
  • Hatillo, PR
  • NPI 1316481211
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rigoberto Robles

  • Clinical Medical Laboratory
  • Hatillo, PR
  • NPI 1699959585
  NPD

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1114922291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR PR-2 KM 86 HM 2 CALLE MARGINAL",
            "address_2": "4",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-262-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR-2 KM 86 HM 2 CALLE MARGINAL",
            "address_2": "262 SUITE 4",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-262-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINIC OMARIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "BASCO",
        "authorized_official_first_name": "YOMARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-262-7071",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Vida Medical Group Hatillo Corp
• La Vida Medical Group Hatillo Corp
• La Vida Medical Group Hatillo PT
• La Vida Medical Group PSC
• Lab Clinico CDT Dr Ferdinando Maldonado
• Laboratorio Clinic Omaris, Inc
• Laboratorio Clinico del Bo. Corcobada, Inc.
• Laboratorio Clinico El Cemi
• Laboratorio Clinico Hatillano
• Laboratorio Clinico Plaza del Norte Inc.

• Clinical Medical Laboratory in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.