NPIMap

Organization Active NPI

Health Laboratories Services Inc

Doing business as Laboratorio Clinico Centro 4

  • Clinical Medical Laboratory
  • Trujillo Alto, PR
National Provider Identifier
1740315423
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
677 Issued in PR
Legal business name
HEALTH LABORATORIES SERVICES INC
Doing business as
Laboratorio Clinico Centro 4
Practice address
869 Carr 876
Nuestra Senora de Lourdes
Trujillo Alto, PR 00976-3813
Phone
(787) 755-5180
Fax
(787) 755-5180
NPI assigned
Feb 22, 2007
Last updated
Aug 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Mrs. Myrta Lopez de Victoria
Title
President
Phone
(787) 762-4786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 677 PR Primary

Addresses

Primary practice location

869 Carr 876
Nuestra Senora de Lourdes
Trujillo Alto, PR 00976-3813

Mailing address

PO Box 3310
Carolina, PR 00984-3310
Phone (787) 755-5180

Other names 1

  • LABORATORIO CLINICO CENTRO 4 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000164 PR Part B Supplier - Independent Clinical Laboratory 3173612884 Practice locations: Trujillo Alto, PR

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Health Laboratories Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

869 Carr 876
Trujillo Alto, PR 00976
Phone (787) 755-5180

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1740315423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3310",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843310",
            "telephone_number": "787-755-5180",
            "fax_number": "787-755-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 CARR 876",
            "address_2": "NUESTRA SENORA DE LOURDES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763813",
            "telephone_number": "787-755-5180",
            "fax_number": "787-755-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LABORATORIES SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "LOPEZ DE VICTORIA",
        "authorized_official_first_name": "MYRTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-762-4786",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO CENTRO 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.