Laboratory Medicine Services Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1227 Issued in PR

Legal business name

LABORATORY MEDICINE SERVICES INCORPORATED

Practice address

Carretera 172 KM 7.5
Bo. Bayamon Sector Certenejas
Cidra, PR 00739

Phone

(787) 306-3985

Fax

(787) 708-2345

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Debora Limardo-Defendini, MD

Title

Director/Owner

Phone

(787) 306-3985

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laboratorio Clinico Flamboyan Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1407157704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 LUIS VIGOREAUX",
            "address_2": "PMB 646",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-306-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 172 KM 7.5",
            "address_2": "BO. BAYAMON SECTOR CERTENEJAS",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-306-3985",
            "fax_number": "787-708-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY MEDICINE SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "LIMARDO-DEFENDINI",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "787-306-3985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D2006469",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR LICENSE",
            "identifier": "1227",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Flamboyan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Laboratorio Clinico Cossma Cidra
• Irasema Laboy San Miguel, OPTICIAN
• Maria Mercedes Lebion Neco, RN
• LM Transportation Services
• Julyann Lopez Ayes
• Yomaira Enid Lopez Ruiz, MHS

• Clinical Medical Laboratory in Cidra, PR
• Providers in Cidra, 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 3, 2010; 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.