Active NPI
JC Med Laboratory Services, Inc.
- Clinical Medical Laboratory
- Arecibo, PR
National Provider Identifier
1952691552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 536
- Legal business name
- JC MED LABORATORY SERVICES, INC.
- Doing business as
- LABORATORIO CLINICO MEDI-SERV
- Practice address
- 400 Santana
Arecibo, PR 00612-6701 - Phone
- (787) 881-2700
- Fax
- (787) 879-0358
- NPI assigned
- Apr 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Blanca Marengo, MT
- Title
- Administrator
- Phone
- (787) 881-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 536 | PR | Primary |
Addresses
Primary practice location
400 Santana
Arecibo, PR 00612-6701
Mailing address
PO Box 1132
Bajadero, PR 00616-1132
Phone (787) 881-2700
Other names 1
- LABORATORIO CLINICO MEDI-SERV
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1952691552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1132",
"city": "BAJADERO",
"state": "PR",
"postal_code": "006161132",
"telephone_number": "787-881-2700",
"fax_number": "787-879-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SANTANA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006126701",
"telephone_number": "787-881-2700",
"fax_number": "787-879-0358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JC MED LABORATORY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-15",
"last_updated": "2011-10-27",
"status": "A",
"authorized_official_last_name": "MARENGO",
"authorized_official_first_name": "BLANCA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-881-2700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO MEDI-SERV",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.