Labca Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1018 Issued in PR

Legal business name

LABCA INC

Practice address

Route 2 KM 44.6 Bo Cantera
Manati, PR 00674

Phone

(787) 854-3920

Fax

(787) 854-4713

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Migdalia Marrero

Title

Owner

Phone

(787) 854-3920

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laboratorio Clinico Cantera Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Labca Inc

  • Clinical Medical Laboratory
  • Toa Baja, PR
  • NPI 1568511657

  3274658729

  Same PAC ID

Tax ID family

Lab Clinico Candelaria2 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.

• Labca Inc

  • Clinical Medical Laboratory
  • Toa Baja, PR
  • NPI 1568511657
  NPD tax ID

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1508940263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 ROUTE 2 BO CANTERA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-3920",
            "fax_number": "787-854-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 2 KM 44.6 BO CANTERA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-3920",
            "fax_number": "787-854-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABCA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "MIGDALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-854-3920"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS HEALTH PLAN",
            "identifier": "30856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Cantera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Manati, PR
• Providers in Manati, 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 Jun 2, 2011; 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.