Laboratorio Medico E Industrial del Sur, Corp.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

632 Issued in PR

Legal business name

LABORATORIO MEDICO E INDUSTRIAL DEL SUR, CORP.

Practice address

64 Calle Munoz Rivera
Juana Diaz, PR 00795-1607

Phone

(787) 837-3175

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Lizmarie Olan Rosario, MT

Title

Medical Technologist

Phone

(787) 831-3175

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Medico del Sur, Corp. Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1265827109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CALLE MUNOZ RIVERA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951607",
            "telephone_number": "787-837-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE MUNOZ RIVERA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951607",
            "telephone_number": "787-837-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO MEDICO E INDUSTRIAL DEL SUR, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "OLAN ROSARIO",
        "authorized_official_first_name": "LIZMARIE",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-831-3175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Medico del Sur, Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Laboratorio Clinico Medico del Sur, Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laboratorio Clinico la Fe LLC
• Laboratorio Clinico Profesional Emanuel - Rio Canas
• Laboratorio Clinico Profesional Emanuel Inc
• Laboratorio Clinico Profesional Emanuel-Jacaguas
• Laboratorio Clinico Silmend
• Laboratorio Sagrada Familia Corp.
• Jennifer Laboy
• Lizzette Laboy
• Lac Medical Equipment Inc
• Yolanda Laporte Estela

• Clinical Medical Laboratory in Juana Diaz, PR
• Providers in Juana Diaz, 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 Nov 7, 2022; 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.