Organization Active NPI

Laboratorio Clinico Lomar Inc.

Doing business as Laboratorio Clinico Lomar

  • Clinical Medical Laboratory
  • Ciales, PR
National Provider Identifier
1871660043
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
633 Issued in PR
Legal business name
LABORATORIO CLINICO LOMAR INC.
Doing business as
Laboratorio Clinico Lomar
Practice address
16 Calle Palmer Ste a
Ciales, PR 00638-3251
Phone
(787) 871-1205
Fax
(787) 871-1205
NPI assigned
Nov 30, 2006
Last updated
Jun 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Mrs. Evelyn Laracuente
Title
Director
Phone
(787) 871-1205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 633 PR Primary

Addresses

Primary practice location

16 Calle Palmer Ste a
Ciales, PR 00638-3251

Mailing address

16 Calle Palmer Ste a
Ciales, PR 00638-3251
Phone (787) 871-1205

Other identifiers 2

IdentifierTypeStateIssuer
20225OtherSSS
30465OtherSSS

Other names 2

  • Laboratorio Clinico Lomar Doing business as
  • Laboratorio Clinico Lomar Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000121 PR Part B Supplier - Independent Clinical Laboratory 0840389615 1 other NPI on this enrollment
Practice locations: Orocovis, PR; Ciales, PR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Orocovis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1871660043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CALLE PALMER STE A",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383251",
            "telephone_number": "787-871-1205",
            "fax_number": "787-871-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE PALMER STE A",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383251",
            "telephone_number": "787-871-1205",
            "fax_number": "787-871-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LOMAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "LARACUENTE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-871-1205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "20225",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "30465",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Lomar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Lomar Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.