1962537647 NPI number — HEALTH LABORATORIES SERVICES INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962537647 NPI number — HEALTH LABORATORIES SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH LABORATORIES SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962537647
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3310
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAROLINA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00984-3310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-727-6429
Provider Business Mailing Address Fax Number:
787-727-6429

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2426 CALLE LOIZA
Provider Second Line Business Practice Location Address:
PUNTA LAS MARIAS
Provider Business Practice Location Address City Name:
SANTURCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00913-4731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-727-6429
Provider Business Practice Location Address Fax Number:
787-727-6429
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LOPEZ DE VICTORIA
Authorized Official First Name:
MYRTA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-727-6429

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  833 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 660487502 . This is a "COSVI MED PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 051622 . This is a "CRUZ AZUL PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 20115B . This is a "PMC PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 8462 . This is a "IMC PROVIDER #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: LA-0010 . This is a "PALIC PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 800056 . This is a "MMM HEALTHCARE PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 400196 . This is a "UTI PRFERRED PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 20098 . This is a "AMERICAN HEALTH PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 31035PU . This is a "TRIPLE S PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 9790022 . This is a "HUMANA PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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