NPIMap

Organization Active NPI

DV Lab Group Inc

  • Clinical Medical Laboratory
  • Arecibo, PR
National Provider Identifier
1356686513
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1129 Issued in PR
Legal business name
DV LAB GROUP INC
Practice address
Road 635 KM 0.1 Barrio Dominguito
Arecibo, PR 00612
Phone
(787) 879-1300
Fax
(787) 879-1300
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Mrs. Maite Rolon, M.T.
Title
Administrator
Phone
(787) 879-0749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1129 PR Primary

Addresses

Primary practice location

Road 635 KM 0.1 Barrio Dominguito
Arecibo, PR 00612

Mailing address

PO Box 142292
Arecibo, PR 00614-2292
Phone (787) 879-0749

Other names 1

  • LABORATORIO CLINICO ROLON GREEN Other name

National Provider Directory

National Provider Directory
Tax ID family
DV Lab Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1356686513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142292",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142292",
            "telephone_number": "787-879-0749",
            "fax_number": "787-816-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 635 KM 0.1 BARRIO DOMINGUITO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-1300",
            "fax_number": "787-879-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DV LAB GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "ROLON",
        "authorized_official_first_name": "MAITE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-879-0749",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO ROLON GREEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.