Organization Active NPI

Labca Inc

Doing business as Laboratorio Clinico Candelaria

  • Clinical Medical Laboratory
  • Toa Baja, PR
National Provider Identifier
1568511657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1111 Issued in PR
Legal business name
LABCA INC
Doing business as
Laboratorio Clinico Candelaria
Practice address
Carretera 863 KM 0 6 Bo Pajaros
Toa Baja, PR 00951
Phone
(787) 780-7744
Fax
(787) 780-7744
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Migdalia Marrero
Title
Owner
Phone
(787) 780-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1111 PR Primary

Addresses

Primary practice location

Carretera 863 KM 0 6 Bo Pajaros
Toa Baja, PR 00951

Mailing address

PO Box 2040
Marati, PR 00674
Phone (787) 780-7744

Other names 1

  • Laboratorio Clinico Candelaria Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921000586 PR Part B Supplier - Independent Clinical Laboratory 3274658729 Practice locations: Toa Baja, PR

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568511657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2040",
            "city": "MARATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-780-7744",
            "fax_number": "787-780-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 863 KM 0 6 BO PAJAROS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00951",
            "telephone_number": "787-780-7744",
            "fax_number": "787-780-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABCA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "MIGDALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-780-7744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Candelaria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.