Laboratorio Clinico Medi-Serv Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

536 Issued in PR

Legal business name

LABORATORIO CLINICO MEDI-SERV INC

Doing business as

JC Med Laboratory Services, Inc.

Practice address

400 Santana
Arecibo, PR 00612-6701

Phone

(787) 881-2700

Fax

(787) 879-0358

NPI assigned

Nov 4, 2005

Last updated

Mar 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Blanca M Cordero, MT

Title

General Manager

Phone

(787) 881-2700

Specialties & licenses 1

Addresses

Other names 1

• JC MED LABORATORY SERVICES, INC. Doing business as

Locations

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1710978929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "BAJADERO",
            "state": "PR",
            "postal_code": "006161132",
            "telephone_number": "787-881-2700",
            "fax_number": "787-879-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SANTANA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126701",
            "telephone_number": "787-881-2700",
            "fax_number": "787-879-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MEDI-SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "787-881-2700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC MED LABORATORY SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico del Rosario
• Laboratorio Clinico del Rosario, Inc
• Laboratorio Clinico El Vivi
• Laboratorio Clinico Ling, Inc.
• Laboratorio Clinico Ling, Inc.
• Laboratorio Clinico Oliver
• Laboratorio Clinico Rodriguez N LLC
• Laboratorio Clinico Toledo, LLC (Laboratorio Clinico Toledo)
• Laboratorio Clinico Vazquez,Inc
• Laboratorio Clinico Vega CSP (Laboratorio Clinico Vega II)

• Clinical Medical Laboratory in Arecibo, PR
• Providers in Arecibo, 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 Mar 17, 2011; 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.