Organization Active NPI

Express Lab LLC

  • Clinical Medical Laboratory
  • Isabela, PR
National Provider Identifier
1336910827
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EXPRESS LAB LLC
Practice address
Carr. PR #113 KM 2.1 Bo. Guayabos
Isabela, PR 00662-1127
Phone
(787) 234-0770
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Clarissa LopezNPI 1730303132
Title
President
Phone
(787) 234-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carr. PR #113 KM 2.1 Bo. Guayabos
Isabela, PR 00662-1127

Mailing address

PO Box 1127
Isabela, PR 00662-1127
Phone (787) 234-0770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701001735 PR Part B Supplier - Independent Clinical Laboratory 6406390533 Practice locations: Isabela, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1336910827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621127",
            "telephone_number": "787-234-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. PR #113 KM 2.1 BO. GUAYABOS",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621127",
            "telephone_number": "787-234-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-234-0770"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.