Lab Clinico Van Scoy

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

964 Issued in PR

Legal business name

LAB CLINICO VAN SCOY

Practice address

Carr 167 KM 01 Ramal 829
Buena Vista
Bayamon, PR 00956

Phone

(787) 799-0795

Fax

(787) 799-0828

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Alexis Amador, MT

Title

Vice-President

Phone

(787) 799-0795

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Lab Clinico Van Scoy2 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.

• Laboratorio Clinico Van Scoy Inc

  • Clinical Medical Laboratory
  • Toa Baja, PR
  • NPI 1376822585
  NPD tax ID

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1346322344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 8 BOX 1995",
            "address_2": "MSC 178",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569613",
            "telephone_number": "787-799-0795",
            "fax_number": "787-799-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 167 KM 01 RAMAL 829",
            "address_2": "BUENA VISTA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-799-0795",
            "fax_number": "787-799-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB CLINICO VAN SCOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "787-799-0795",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Jesus Krause Lopez Sr., LCD
• Nerymar Kuilan Martinez, PSY.D
• Yolanda I. Kuilan
• La Perla de Gran Precio
• Lab Clinico CDT Minillas
• Gary Labadie, M.D.
• Laboratorio Clinico Bacteriologico Caribbean, Inc.
• Laboratorio Clinico Bayamon Oeste Inc
• Laboratorio Clinico Bella Vista
• Laboratorio Clinico Dr. Cajigas, Inc.

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Oct 27, 2015; 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.