Laboratorio Clinico Hnos Mikasobe,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

342 Issued in PR

Legal business name

LABORATORIO CLINICO HNOS MIKASOBE,LLC

Practice address

68 Calle Betances
Canovanas, PR 00729-3243

Phone

(787) 876-3697

Fax

(787) 256-5538

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Ileana Duran, MT

Title

Owner

Phone

(787) 876-3697

Specialties & licenses 1

Addresses

Other names 1

• laboratorio clinico hnos mikasobe,llc Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Hermns Hikasobe

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1689605909

  O20120508000344

  Same enrollment

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1770514150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10,0000",
            "address_2": "PMB 157",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293243",
            "telephone_number": "787-876-3697",
            "fax_number": "787-256-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE BETANCES",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293243",
            "telephone_number": "787-876-3697",
            "fax_number": "787-256-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO HNOS MIKASOBE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-876-3697",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "laboratorio clinico hnos mikasobe,llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laboratorio Clinico Canovanas
• Laboratorio Clinico Canovanas Inc
• Laboratorio Clinico Chegar Inc
• Laboratorio Clinico Chegar Inc
• Laboratorio Clinico Expreso
• Laboratorio Clinico Loiza Valley Inc.
• Laboratorio Clinico Oscar Inc
• Jesus Rafael Labrador Cacho, DC
• Kenneth Landron
• Monica Larrion

• Clinical Medical Laboratory in Canovanas, PR
• Providers in Canovanas, 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 May 21, 2024; 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.