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1407157704 NPI number — LABORATORY MEDICINE SERVICES INCORPORATED

NPI Number: 1407157704
Health Care Provider/Practitioner: LABORATORY MEDICINE SERVICES INCORPORATED

Information about “1407157704” NPI (LABORATORY MEDICINE SERVICES INCORPORATED) exists in 1407157704 in HTML format HTML  |  1407157704 in plain Text format TXT  |  1407157704 in PDF (Portable Document Format) PDF  |  1407157704 in an XML format XML  formats.

NPI Number : 1407157704 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407157704",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LABORATORY MEDICINE SERVICES INCORPORATED",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1353 LUIS VIGOREAUX",
    "SecondLineMailingAddress": "PMB 646",
    "MailingAddressCityName": "GUAYNABO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00966",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-306-3985",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "CARRETERA 172 KM 7.5",
    "SecondLinePracticeLocationAddress": "BO. BAYAMON SECTOR CERTENEJAS",
    "PracticeLocationAddressCityName": "CIDRA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00739",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-306-3985",
    "PracticeLocationAddressFaxNumber": "787-708-2345",
    "EnumerationDate": "11/03/2010",
    "LastUpdateDate": "11/03/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LIMARDO-DEFENDINI",
    "AuthorizedOfficialFirstName": "DEBORA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR/OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "787-306-3985",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "1227",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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