NPIMap

Organization Active NPI

Health Laboratories Services Inc

  • Clinical Medical Laboratory
  • Carolina, PR
National Provider Identifier
1891820288
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
313 Issued in PR
Legal business name
HEALTH LABORATORIES SERVICES INC
Practice address
Avenida Monserrate BH-13
Valle Arriba Heights
Carolina, PR 00985
Phone
(787) 752-1105
Fax
(787) 752-1165
NPI assigned
Feb 23, 2007
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 313 PR Primary

Addresses

Primary practice location

Avenida Monserrate BH-13
Valle Arriba Heights
Carolina, PR 00985

Mailing address

PO Box 3310
Carolina, PR 00984-3310
Phone (787) 762-4786

Other identifiers 11

IdentifierTypeStateIssuer
052096OtherPRCRUZ AZUL PROV #
30824VAOtherPRTRIPLE S PROV #
660487503OtherPRCOSVI MED PROV #
8462OtherPRIMC PROV #
04875544OtherPRCOSVI PROV #
20115COtherPRPMC PROV #
9850012OtherPRHUMANA PROV #
20096OtherPRAMERICAN HEALTH PROV #
800070OtherPRMMM HEALTHCARE PROV #
400263OtherPRUTI PREFERRED PROV #
L-0010OtherPRPALIC PROV #

Other names 1

  • LABORATORIO CLINICO VALLE ARRIBA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120316000137 PR Part B Supplier - Independent Clinical Laboratory 3173612884 Practice locations: Carolina, 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 Lab Serv 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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1891820288",
    "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": "787-762-4786",
            "fax_number": "787-752-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA MONSERRATE BH-13",
            "address_2": "VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-752-1105",
            "fax_number": "787-752-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LABORATORIES SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "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": "313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PROV #",
            "identifier": "052096",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROV #",
            "identifier": "30824VA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI MED PROV #",
            "identifier": "660487503",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC PROV #",
            "identifier": "8462",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI PROV #",
            "identifier": "04875544",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROV #",
            "identifier": "20115C",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROV #",
            "identifier": "9850012",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH PROV #",
            "identifier": "20096",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE PROV #",
            "identifier": "800070",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI PREFERRED PROV #",
            "identifier": "400263",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC PROV #",
            "identifier": "L-0010",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO VALLE ARRIBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, 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.