Active NPI
Laboratorio Clinico Lomar Inc.
Doing business as Laboratorio Clinico Orocovis
- Clinical Medical Laboratory
- Orocovis, PR
National Provider Identifier
1154498350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 725
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800184 | Other | MMM | |
| 30620 | Other | SSS | |
| 20225C | Other | PREFERRED MEDICAL CHOICE |
Other names 2
- Laboratorio Clinico Orocovis
- Laboratorio Clinico Lomar ,Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Laboratorio Clinico Lomar
- Clinical Medical Laboratory
- Ciales, PR
- NPI 1871660043
O20071203000121
National Provider Directory
National Provider Directory- Tax ID family
- Lab Clinico Orocovis
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Laboratorio Clinico Lomar
- Clinical Medical Laboratory
- Ciales, PR
- NPI 1871660043
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
- Ruben Alejandro Jimenez, MSC/MHC, LPC
- Jireh Medical Transport LLC
- JJ Paramedic Inc
- JRC Servicios Medicos CSP
- Laboratorio Clinico Borinquen
- Laboratorio Clinico Mercado Inc
- Astrid Camille Lopez Santiago, RPHT
- Edna Lozada Rivera
- Luis R Rodriguez Torres (hnc rodriguez ambulance)
- Edna Carmen Maldonado, LND
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.