NPIMap

Organization Active NPI

Stat-Genetik, Inc

  • Clinical Medical Laboratory
  • Guaynabo, PR
National Provider Identifier
1841067964
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STAT-GENETIK, INC
Doing business as
High Profile Laboratory II
Practice address
Ramirez de Arellano Avenue
Esq Madrid Torrimar Shopping Center Local 5
Guaynabo, PR 00969
Phone
(787) 523-1922
Fax
(787) 523-1926
NPI assigned
Dec 8, 2023
Organization subpart
Yes
Parent organization
STAT-GENETIK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Carmen Ripoll
Title
Laboratory Director
Phone
(787) 720-0767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Ramirez de Arellano Avenue
Esq Madrid Torrimar Shopping Center Local 5
Guaynabo, PR 00969

Mailing address

405 Ave Esmeralda
PMB 355
Guaynabo, PR 00969
Phone (787) 523-1922

Other names 1

  • High Profile Laboratory II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stat-Genetik Inc2 organizations share this tax ID, including this one
Part of
Stat-Genetik Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1841067964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 AVE ESMERALDA",
            "address_2": "PMB 355",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-523-1922",
            "fax_number": "787-523-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RAMIREZ DE ARELLANO AVENUE",
            "address_2": "ESQ MADRID TORRIMAR SHOPPING CENTER LOCAL 5",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-523-1922",
            "fax_number": "787-523-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT-GENETIK, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAT-GENETIK, INC",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "RIPOLL",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-720-0767"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Profile Laboratory II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.