B.M.Laboratory,Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1139 Issued in PR

Legal business name

B.M.LABORATORY,INC.

Practice address

Carr. 4477 K.M 1.1
Arenales Bajos
Isabela, PR 00662

Phone

(787) 872-8888

Fax

(787) 872-8888

NPI assigned

Jan 16, 2008

Last updated

Apr 7, 2015By 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. Idaliz T. Mercado Morell, M.T.

Title

President

Phone

(787) 872-8888

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico 4 Calles Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1730365032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270626",
            "telephone_number": "787-872-8888",
            "fax_number": "787-872-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 4477 K.M 1.1",
            "address_2": "ARENALES BAJOS",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-8888",
            "fax_number": "787-872-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.M.LABORATORY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MERCADO MORELL",
        "authorized_official_first_name": "IDALIZ",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-872-8888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico 4 Calles",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Evelyn Arocho, BSNRN
• Mylene Gisela Asmar-Rios, PA
• Assmca
• Atlantis Health Care Group Puerto Rico Inc (Renal Center of Isabela)
• Humberto Jafet Ayoroa Sosa I
• Jose Manuel Bachier, D.M.D.
• Rosa Isabel Badillo, PSYD
• Mairim D Baez Lopez
• Marelsa Banuchi, PSY.D.
• Merari Barreto Alers, TERAPISTA FISICO

• Clinical Medical Laboratory in Isabela, PR
• Providers in Isabela, 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 Apr 7, 2015; 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.