Organization Active NPI

JC Med Laboratory Services, Inc.

  • Clinical Medical Laboratory
  • Arecibo, PR
National Provider Identifier
1952691552
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
536 Issued in PR
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

Updated by the provider on Oct 27, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.