Lcsa LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1168 Issued in PR

Legal business name

LCSA LLC

Practice address

Carr 113 KM 13.6
Bo San Antonio
Quebradillas, PR 00678

Phone

(787) 895-4203

Fax

(787) 895-4203

NPI assigned

Oct 23, 2017

Organization subpart

Yes

Parent organization

LCSA LLCAs reported in NPPES

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

Authorized official

Name

Omayra Velez, MEDICAL TECHNOLOGIST

Title

Medical Technologist -Owner

Phone

(787) 895-4203

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO SAN ANTONIO Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Part of

Lcsa LLC

Practitioners 1

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

• Omayra Velez Perez

  • Clinical Medical Laboratory
  • Quebradillas, PR
  • NPI 1942451935
  NPD

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1467963900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780894",
            "telephone_number": "787-895-4203",
            "fax_number": "787-895-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 113 KM 13.6",
            "address_2": "BO SAN ANTONIO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-4203",
            "fax_number": "787-895-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCSA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LCSA LLC",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "OMAYRA",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST -OWNER",
        "authorized_official_telephone_number": "787-895-4203",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO SAN ANTONIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laboratorio Clinico Shalom Corporation
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• Laboratorio San Rafael Quebradillas, Inc.
• Laboratorio San Rafael Quebradillas, Inc.
• Le Vista Corp.
• Zaimary Liciaga Lopez, PSYD
• Life Alert Ambulance Inc
• Deborah Lopez Nieves, MD
• Jose Carlos Lopez

• Clinical Medical Laboratory in Quebradillas, PR
• Providers in Quebradillas, 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 23, 2017; 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.