Zoommed Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

40D0690736 Issued in PR

Legal business name

ZOOMMED INC

Doing business as

clendo reference lab

Practice address

58 Calle Santa Cruz
Bayamon, PR 00961-7020

Phone

(877) 809-4965

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Graham M Cormack, M.D.

Title

President

Phone

(877) 809-4965

Specialties & licenses 1

Addresses

Other names 1

• clendo reference lab Doing business as

Locations

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1134433667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 BURBANK BLVD",
            "address_2": "STE 1D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012389",
            "telephone_number": "877-809-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617020",
            "telephone_number": "877-809-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOOMMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "CORMACK",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-809-4965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D0690736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clendo reference lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julivel Marie Zayas Pagan, M.D.
• Kisha Marie Zayas Rivera
• Ilia E Zayas-Toro
• Joelyrose Zayas
• Juan C Zequeira Diaz, M.D.
• Ramon A Zorrilla Lassus, DMD
• Khairunisahakimah Zulkifli, MD

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Jul 26, 2010; 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.