Tejav Santurce Lab Services, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

00910 Issued in PR

Legal business name

TEJAV SANTURCE LAB SERVICES, INC.

Doing business as

Laboratorio Clinico Tejav

Practice address

1427 Ave Fernandez Juncos
San Juan, PR 00909-2658

Phone

(787) 763-3545

Fax

(787) 724-0545

NPI assigned

Nov 1, 2006

Last updated

Dec 15, 2009By 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. Teresita Ortiz, M.T.

Title

Laboratory Director President

Phone

(787) 763-3545

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Laboratorio Clinico Tejav Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1841377058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360632",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360632",
            "telephone_number": "787-763-3545",
            "fax_number": "787-724-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 AVE FERNANDEZ JUNCOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092658",
            "telephone_number": "787-763-3545",
            "fax_number": "787-724-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJAV SANTURCE LAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR PRESIDENT",
        "authorized_official_telephone_number": "787-763-3545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "00910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "31573",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED HEALTH",
            "identifier": "400166",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "51238",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "B634",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9270028",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH DEPARTMENT",
            "identifier": "00910",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0922572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "LA-0267",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Tejav",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.