NPIMap

Organization Active NPI

Laboratorio Clinico Expreso JVG

  • Clinical Medical Laboratory
  • Ciales, PR
National Provider Identifier
1306088158
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1042 Issued in PR
Legal business name
LABORATORIO CLINICO EXPRESO JVG
Practice address
Carr 149 KM 9.8
Ciales, PR 00638
Phone
(787) 983-7399
NPI assigned
Mar 25, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Ms. Jessica Villafane, LCDA
Title
Tecnologist
Phone
(787) 983-7399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1042 PR Primary

Addresses

Primary practice location

Carr 149 KM 9.8
Ciales, PR 00638

Mailing address

Carr 149 KM 9.8 Interseccion Campamento
Ciales, PUERTO RICO 00703
UM
Phone (787) 983-7399

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Expreso JVG2 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.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1306088158",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CARR 149 KM 9.8 INTERSECCION CAMPAMENTO",
            "city": "CIALES",
            "state": "PUERTO RICO",
            "postal_code": "00703",
            "telephone_number": "787-983-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 9.8",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-983-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO EXPRESO JVG",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "TECNOLOGIST",
        "authorized_official_telephone_number": "787-983-7399",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCDA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.