Organization Active NPI

Laboratorio Clinico Serhant

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1407941545
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
287 Issued in PR
Legal business name
LABORATORIO CLINICO SERHANT
Practice address
8011 Calle Concordia Urb.Sta.Maria
Ponce, PR 00717-1500
Phone
(787) 843-5870
Fax
(787) 843-5870
NPI assigned
Oct 4, 2006
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Mr. Pedro J Laboy
Title
Pres/Owner
Phone
(787) 843-5870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 287 PR Primary

Addresses

Primary practice location

8011 Calle Concordia Urb.Sta.Maria
Ponce, PR 00717-1500

Mailing address

8011 Calle Concordia Urb.Sta.Maria
Ponce, PR 00717-1500
Phone (787) 843-5870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004001233 PR Part B Supplier - Independent Clinical Laboratory 3870785298 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1407941545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 CALLE CONCORDIA URB.STA.MARIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171500",
            "telephone_number": "787-843-5870",
            "fax_number": "787-843-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 CALLE CONCORDIA URB.STA.MARIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171500",
            "telephone_number": "787-843-5870",
            "fax_number": "787-843-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SERHANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "LABOY",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "787-843-5870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.