Organization Active NPI

Laboratorio Clinico Lomar Inc.

Doing business as Laboratorio Clinico Orocovis

  • Clinical Medical Laboratory
  • Orocovis, PR
National Provider Identifier
1154498350
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
725 Issued in PR
Legal business name
LABORATORIO CLINICO LOMAR INC.
Doing business as
Laboratorio Clinico Orocovis
Practice address
Calle Pedro Arroyo #4
Orocovis, PR 00720
Phone
(787) 867-2907
Fax
(787) 867-2907
NPI assigned
Nov 30, 2006
Last updated
Jun 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Mrs. Evelyn Laracuente
Title
Director
Phone
(787) 867-2907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 725 PR Primary

Addresses

Primary practice location

Calle Pedro Arroyo #4
Orocovis, PR 00720

Mailing address

Calle Pedro Arroyo #4
Orocovis, PR 00720

Other identifiers 3

IdentifierTypeStateIssuer
800184OtherMMM
30620OtherSSS
20225COtherPREFERRED MEDICAL CHOICE

Other names 2

  • Laboratorio Clinico Orocovis Doing business as
  • Laboratorio Clinico Lomar ,Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000121 PR Part B Supplier - Independent Clinical Laboratory 0840389615 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orocovis, PR; Ciales, PR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Orocovis2 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

4 Calle Pedro Arroyo
#B
Orocovis, PR 00720
Phone (787) 867-2907

44 Calle Munoz Rivera
Vega Alta, PR 00692
Phone (787) 883-0852

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1154498350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE PEDRO ARROYO #4",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "00720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PEDRO ARROYO #4",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "00720",
            "telephone_number": "787-867-2907",
            "fax_number": "787-867-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LOMAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "LARACUENTE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-867-2907",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "800184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "30620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL CHOICE",
            "identifier": "20225C",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Orocovis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Lomar ,Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orocovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.