Organization Active NPI

Laboratorio Clinico Expresso JVG Inc

  • Clinical Medical Laboratory
  • Ciales, PR
National Provider Identifier
1952568628
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO EXPRESSO JVG INC
Practice address
500 Carr 149 Ste 6
Ciales, PR 00638-9661
Phone
(787) 871-0470
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Miss Jessica Villafane, LCDA
Title
Tecnologa Medica
Phone
(787) 871-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

500 Carr 149 Ste 6
Ciales, PR 00638-9661

Mailing address

PO Box 1741
Caguas, PR 00726-1741
Phone (787) 871-0470

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
40D0992489Laboratorio Clinico Expreso500 Carr PR-149 Suite 6, Ciales, PR 00638ComplianceApr 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Expreso JVG2 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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1952568628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1741",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261741",
            "telephone_number": "787-871-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CARR 149 STE 6",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006389661",
            "telephone_number": "787-871-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO EXPRESSO JVG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "TECNOLOGA MEDICA",
        "authorized_official_telephone_number": "787-871-0470",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCDA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.