Organization Active NPI

Havensight Medical Laboratory Inc

  • Clinical Medical Laboratory
  • St Thomas, VI
National Provider Identifier
1700938255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HAVENSIGHT MEDICAL LABORATORY INC
Practice address
9003 Havensight
Suite 312
St Thomas, VI 00802
Phone
(340) 774-5515
Fax
(340) 774-1251
NPI assigned
Jan 17, 2007
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
Kit Alia Freeman, MT
Title
Supervisor
Phone
(340) 774-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NY Primary

Addresses

Primary practice location

9003 Havensight
Suite 312
St Thomas, VI 00802

Mailing address

PO Box 502934
9003 Havensight Suite 312
St Thomas, VI 00805
Phone (340) 774-5515

National Provider Directory

National Provider Directory

Locations

9003 Havensight Shopp Ctr
Ste 312
St Thomas, VI 00802
Phone (340) 774-5515

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700938255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502934",
            "address_2": "9003 HAVENSIGHT SUITE 312",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "00805",
            "telephone_number": "340-774-5515",
            "fax_number": "340-774-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 HAVENSIGHT",
            "address_2": "SUITE 312",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-5515",
            "fax_number": "340-774-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENSIGHT MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KIT ALIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "340-774-5515",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.